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Scholars Journal of Medical Case Reports | Volume-13 | Issue-06
Advanced Malignant Skin Tumors of the Face: Surgical Management and Outcomes in 30 Cases
Dr. Y. Lamaalla, Dr. Z. Alami, Dr. Idelkheir, Dr. Azzouzi, Dr. Sylla, Dr. Oudghiri, Pr. El Atiqi, Pr. MD. Elamrani, Pr. Y. Benchamkha
Published: June 19, 2025 |
21
44
Pages: 1484-1488
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Abstract
Advanced malignant skin tumors of the face represent a significant clinical and public health challenge due to their high prevalence, potential for disfigurement, and life-threatening complications. This retrospective study analyzed 30 cases treated surgically over two years at a tertiary care center in Morocco. The mean patient age was 63 years, with a male predominance (sex ratio 2:1). Delayed consultation (average 15 months) was attributed to rural healthcare barriers and use of traditional medicine. Histopathological analysis revealed basal cell carcinoma (60%), squamous cell carcinoma (37%), and melanoma (3%). Surgical management included wide local excision (73% curative intent), lymphadenectomy (33% for squamous cell carcinoma), and reconstruction with grafts (20%) or locoregional flaps (80%). The discussion highlights the epidemiological and therapeutic challenges unique to phototypes IV–V populations and underscores the need for early diagnosis and multidisciplinary care.