Extensive cutaneous malignant melanoma of head and neck

Management of extensive cutaneous malignant melanomas of head and neck is usually a challenging problem especially if the tumour has nodal metastasis. A young female presented with fungating growth of right side of face extending up to the neck. Two months after surgery, she developed brain and lung metastasis. The oncological control at this advance stage is far difficult with surgical excision. In such cases, reconstruction of head and neck becomes questionable at times.