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[Radiotherapy in scar-induced keloid]
H P Rösler1, S Zapf, H D Kuffner
1Klinik mit Poliklinik für Radiologie, Universität Mainz.
Fortschritte Der Medizin
|February 10, 1993
Summary
Surgical excision combined with postoperative irradiation significantly improves keloid treatment outcomes. This combined approach enhances cosmetic results and effectively reduces keloid recurrence rates.
Area of Science:
- Dermatology
- Oncology
- Radiotherapy
Context:
- Keloids are benign fibrous growths resulting from abnormal wound healing.
- Recurrence rates after keloid excision alone can be high.
- Effective treatment strategies are needed to improve cosmetic outcomes and prevent recurrence.
Purpose:
- To evaluate the efficacy of combining keloid excision with postoperative irradiation.
- To assess the cosmetic results and recurrence rates of this combined treatment modality.
Summary:
- A retrospective study analyzed 20 patients with 23 keloids treated with excision and postoperative irradiation (mean dose 20 Gy).
- Follow-up of 18 patients (21 keloids) showed good to very good cosmetic results in 17 cases.
- Symptomatic relief was achieved in 15 of 18 keloids with pre-existing complaints, and recurrence was largely avoided.
Impact:
- The combined approach of surgical excision and postoperative irradiation offers improved outcomes for keloid management.
- This strategy can lead to better cosmetic results and a significant reduction in keloid recurrence.
- Further research may explore optimal irradiation parameters for keloid treatment.