The treatment of neck and parotid gland in cutaneous squamous cell carcinoma of face and forehead and the review of literature

• Elective node dissection should be performed in high-risk of lymphatic metastasis.
• Long-term follow-up of treated face and forehead skin cancers should not be ignored.
• Face skin cancer patients should be informed about possible future metastases.
• Atypical recurrences should be kept in mind in case of regional lymph node dissection.

IntroductionThe treatment of cervical lymph node metastases have a significant prognostic effect on the face and forehead skin cancers. We aimed to point out the importance of loco-regional treatment in cutaneous squamous cell carcinoma of face and forehead.Presentation of caseWe present our experience with four cases that had squamous cell carcinoma of face and forehead skin. All cases had regional recurrence following 1–3 years after the primary treatment, but did not have local recurrence.DiscussionLoco-regional lymphatic treatment for face and forehead skin squamous carcinomas has vital importance especially in the cases with high-risk factors for lymph node metastasis.ConclusionElective lymph node dissection of appropriate region(s) should be included in the treatment plan for cases which have one or more of high-risk factors for lymph node metastases and long-term follow-up should not be ignored.