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Keratoacanthoma recurrent after surgical excision
Summary
A rapidly recurring keratoacanthoma was successfully treated with radiation and intralesional triamcinolone injections. This case highlights that complete removal doesn't always cure this benign skin tumor, necessitating further treatment.
Area of Science:
- Dermatology
- Oncology
Background:
- Keratoacanthoma is a common benign skin tumor.
- Complete surgical excision is the standard treatment for keratoacanthoma.
Observation:
- A 62-year-old man presented with a rapidly recurrent keratoacanthoma two and a half weeks after complete removal.
- The recurrent tumor showed partial regression after X-irradiation.
Findings:
- Intralesional injections of triamcinolone acetonide suspension led to the final resolution of the recurrent keratoacanthoma.
- Neither partial destruction nor total excision invariably cures keratoacanthoma.
Implications:
- Combined treatment modalities may be necessary for managing recurrent keratoacanthoma.
- Further research into optimal treatment strategies for keratoacanthoma is warranted.