Aušrinė Šerėnaitė, Ernest Zacharevskij, Loreta Pilipaitytė, Kęstutis Braziulis

Abstract

This retrospective study evaluates surgical outcomes in 93 patients undergoing facial melanoma surgery between 2016 and 2023. Key factors analyzed include tumor lo­calization, morphology, surgical radicality (R0, R1, Rx), excision width and recurrence rates. Lentigo maligna spectrum was the most common type (77.4%), with the left cheek being the most frequent tumor site (45.2%). R0 resections with a minimum margin of 0.6 cm signifi­cantly reduced recurrence, while R1 resections had higher recurrence rates, particularly in lentigo maligna cases. These findings highlight the importance of precise sur­gical planning to optimize oncological and functional outcomes.

Keyword(s): Facial melanoma; Surgical radicality; Recurrence; Excision width; Lentigo maligna; Skin cancer.

DOI: 10.35988/sm-hs.2025.300
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