[Advanced skin tumors (incurables?) of the cephalic extremity: surgical considerations]

Suggest a surgical thinking for a multidisciplinary problem is inevitably difficult. Nevertheless, through targeted clinical examples, we tried to prioritize our clinical and intellectual approach for advanced tumors of the cephalic extremity. In these cases, decisions can only be collegial, and respect for the patient and his choices remain essential. Ultimately, we would argue this problematic, discussing successively the histological type, ethical concern with regard to clinic, operability and reconstruction opportunities.