| | Joined: Jul 2012 Posts: 1 Member | | Member
Joined: Jul 2012 Posts: 1 | Hi. My dad had a crack on his lip that wasn't healing. It's been coming and going for ages but i never took any notice of it since it healed intermittently. Anyway I noticed it recently and as I am a dentist I was mildly concerned. I asked a friend to biopsy it and i got a shock when it turned out to be carcinoma in situ with invasion. I feel because i'm a dentist my whole family are looking to me for guidance but I have no expertise in this area. Originally I was told he would be sent to a plastic surgeon but now the local maxillofacial surgeon has said that he will remove the lesion. I am concerned. Do maxfacs usually remove soft tissue lesions on the lip? How will they know if there is lymph node invasion or not? What should I be asking? Any advice would be great
daintydoll
| | | | | Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | | "OCF Canuck" Patient Advocate (old timer, 2000 posts)
Joined: Dec 2010 Posts: 5,264 Likes: 5 | I would go to an ENT. An oral surgeon can do it, but ideally he should have a ct / pet / or MRI to determine if there are mets - usually if it's in the nodes they can be palpated, but as you probably know there could well be microscopic cancer that even a scan can't detect. My concern would more or less be spread to the gums, and jaw first (mandible?) so a scan would be my next step along with a full examination and scope and a second opinion from a qualified ENT who is very familiar with oral cancer. For what it's worth lip cancer is very very treatable and has a great cure rate. Good luck and take care.
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 8 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 10,507 Likes: 8 | Welcome to OCF! I would suggest taking your father to a large cancer center so he will be dealing with professionals who are familiar with treating situations like his.
Best wishes!
ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive  | | |
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