Special Considerations for Head and Neck Melanoma.

Approximately 25% of all cutaneous melanomas arise in the head and neck region. Common locations include the face (40%-60%), scalp (14%-49%), neck (20%-29%), and ear (8%-11%) with the most common locations being the occipital scalp and cheek. The complexity of the head and neck anatomic subsites makes definitive management with wide local excision and reconstruction a challenge owing to both functional and cosmetic sequela. Although complex, the key to treatment remains early diagnosis, treatment, and close multidisciplinary management.