Clinical Analysis of Facial Cutaneous Malignant Tumors

Kim, Jun Sik; Lee, Kyung Suk; Kim, Nam Gyun; Choi, Tae Hyun

Abstract

The incidence of cutaneous malignant tumors has increased recently and has varied according to social and environmental influence. The purpose of this study was to analyze the clinical characteristics of facial cutaneous malignant tumors and our experience to treat it. A retrospective clinical analysis was made on 99 cases of facial cutaneous malignant tumors which had been operated at the Department of Plastic and Reconstructive Surgery, Gyeongsang National University Hospital during the last 10 years between January 1944 and December 2003. The results were summarized as follows: 1.The most common facial cutaneous malignant tumor was basal cell carcinoma(55.6%), followed by squamous cell carcinoma(39.4%), malignant melanoma(4%), dermatofibrosarcoma(1%). 2.In age and sex distribution, majority of facial cutaneous malignant tumors developed after 6th decade (92.0%) and male was more frequently affected with male to female ratio 1.15:1. 3. The predilection sites of basal cell carcinoma were nose(47.3%), cheek(29.1%), auricle(10.9%), and those of squamous cell carcinoma were cheek(30.8%), temple (20.5%), and lower lip(17.9%). 4. Of the reconstructive methods after tumor resection, local flaps were most commonly used(68.7%). 5. The average duration between the presumed time of onset and the time of operation was 29.4 months in squamous cell carcinoma and 62.1 months in basal cell carcinoma. 6.Eight cases(8.1%) of these cases showed recurrence. 7.We observed two cases of metastasis in squamous cell carcinoma and malignant melanoma in which were metastasized into the regional lymph nodes.