Rarely, a tumour might spread by implantation by surgeonпїЅs scalpel, needles, sutures, or could also be implanted by direct contact corresponding to transfer of most cancers of the lower lip to the apposing upper lip. Les methodes de resection (electroresection a l anse ou conisation au bistouri) sont possibles mais la vaporisation-laser est contre-indiquee. Surgery for big tumors consists of excision with enough security margin and repair
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