Advanced Malignant Skin Tumors of the Face: Surgical Management and Outcomes in 30 Cases

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.