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Manjunath KN, Venkatesh MS, Alva R, et al. Efficacy of Surgical Excision and Adjuvant High-dose Rate Brachytherapy in Treatment of Keloid: Our Experience. J Cutan Aesthet Surg. 2021;14(3):337-343doi: 10.4103/JCAS.JCAS_120_16.
Manjunath, K. N., Venkatesh, M. S., Alva, R., Koushik, K., Waiker, V., Mohan, K., & Shivalingappa, S. (2021). Efficacy of Surgical Excision and Adjuvant High-dose Rate Brachytherapy in Treatment of Keloid: Our Experience. Journal of cutaneous and aesthetic surgery, 14(3), 337-343. https://doi.org/10.4103/JCAS.JCAS_120_16
Manjunath, Kalapurmat N, et al. "Efficacy of Surgical Excision and Adjuvant High-dose Rate Brachytherapy in Treatment of Keloid: Our Experience." Journal of cutaneous and aesthetic surgery vol. 14,3 (2021): 337-343. doi: https://doi.org/10.4103/JCAS.JCAS_120_16
Manjunath KN, Venkatesh MS, Alva R, Koushik K, Waiker V, Mohan K, Shivalingappa S. Efficacy of Surgical Excision and Adjuvant High-dose Rate Brachytherapy in Treatment of Keloid: Our Experience. J Cutan Aesthet Surg. 2021 Jul-Sep;14(3):337-343. doi: 10.4103/JCAS.JCAS_120_16. PMID: 34908777; PMCID: PMC8611697.
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J Cutan Aesthet Surg. 2021 Jul-Sep;14(3):337-343. doi: 10.4103/JCAS.JCAS_120_16.

Efficacy of Surgical Excision and Adjuvant High-dose Rate Brachytherapy in Treatment of Keloid: Our Experience.

Journal of cutaneous and aesthetic surgery

Kalapurmat N Manjunath, Mysore Srinivas Venkatesh, Ramcharith Alva, Keerthi Koushik, Veena Waiker, Kumaraswamy Mohan, Shanthakumar Shivalingappa

Affiliations

  1. Department of Plastic & Reconstructive Surgery, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.
  2. Department of Radiotherapy, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.

PMID: 34908777 PMCID: PMC8611697 DOI: 10.4103/JCAS.JCAS_120_16

Abstract

BACKGROUND: Keloids are dermal tumors that are due to increased production of collagen caused by abnormal and prolonged wound healing. The incidence of recurrence is extremely high if only conservative measures are used. This study was conducted to evaluate the feasibility and efficacy surgery and high dose rate brachytherapy as an adjuvant therapy for treatment of keloids.

MATERIALS AND METHODS: 50 patients with clinically diagnosed 71 keloids were treated with excision of keloid and post-operative high-dose rate brachytherapy were studied. Complete excision of the keloid till the healthy skin margin was excised. The wound were closed in 2 layers. Subcutaneous tissue closed using absorbable suture, over which a 6F flexible polyethylene tube was placed. High dose rate cobalt-60 brachytherapy was administered. Total of 15 Gy in divided dose, 5 Gy in 3 fractions were administered.

RESULTS: 50 patients with 71 keloids were studied. Out of the 50 patients, 12 were male (24%) and 38 were females (76%). Age of the patients ranged between 14 and 71 years. Recurrence rate was 2% with 2 keloids recurring at 5 months interval. 4 patients scored the results as unacceptable, remaining 45 patients rated their results as excellent during their follow up at 10 days, 3 months and 6 months.

CONCLUSION: Treatment of keloids in the plastic surgeon's practice even today is still challenging. Many therapies have been described, but recurrence rate is high with mono-therapy. Combination therapy especially surgical excision with postoperative radiotherapy is best in preventing recurrence.

Copyright: © 2021 Journal of Cutaneous and Aesthetic Surgery.

Keywords: Brachytherapy; keloid; recurrence

Conflict of interest statement

There are no conflicts of interest.

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