sh Configure -Dcc='cc -n32'
to compile Perl 32-bit. Don't bother with -n32 unless you have 7.1 or later compilers (use cc -version to check).
(Building 'cc -n32' is the default.)
sh Configure -Dcc='cc -64' -Duse64bitint
This requires require a 64-bit MIPS CPU (R8000, R10000, ...)
You can also use
sh Configure -Dcc='cc -64' -Duse64bitall
but that makes no difference compared with the -Duse64bitint because of the "cc -64".
You can also do
sh Configure -Dcc='cc -n32' -Duse64bitint
to use long longs for the 64-bit integer type, in case you don't have a 64-bit CPU.
If you are using gcc, just
sh Configure -Dcc=gcc -Duse64bitint
should be enough, the Configure should automatically probe for the correct 64-bit settings.