Surgical approach to management of basal call and squamous cell skin cancer of the head and neck

Acomprehensive analysis of treatment outcomes for 476 patients with basal cell and squamous cell skin cancers of the head and neck was carried out. One hundred thirty four patients (28 %) underwent surgical incision of the tumor with the use of various methods of replacement of tissue defects. Of these patients, there were 100 (74,6 %) with basal cell cancer and 34 (25,4 %) with squamous cell skin cancer. The extent of the tumor was as follows: Tin 19 (14,2 %), Tin 32 (23,9 %), Tin 18 (13,4 %) and Tin 16 (11,9 %). Distant recurrence of skin 123 4 cancer was revealed in 49 (36,6 %) of patients. At a follow up of 2 to 14 years following surgical treatment, skin cancer recurrence occurred in 19 (14,2 %) patients. The frequency of recurrence increased by higher stage of the disease and it was the highest (28,6 %) in patients receiving treatment for recurrent tumor. Regional skin cancer metastases occurred in 12 (8,9 %) patients including 8 patients with squamous cell cancer and 4 patients with recurrent basal cell skin cancer. Strict adherence to indications for surgical treatment of head and neck skin cancer with simultaneous plastic surgery allows the optimal aesthetic, functional and long-term results to be obtained.