Giant keloid of left buttock treated with post-excisional radiotherapy

Michele Troiano, Anna Simeone, Gerardo Scaramuzzi, Salvatore Parisi, Giuseppe Guglielmi

Research output: Contribution to journalArticle

Abstract

Keloids are defined as excessive scar tissue formation extending beyond the area of the original skin injury and occurring in predisposed individuals. While no single treatment has proven widely effective, several series report excellent outcomes for keloids with post-surgery radiation therapy as described in the literature. We present a patient with recurrent giant keloid of left buttock after several surgical removals, that at physical examination shows the size of 40×22×10 cm in the largest dimension. Patient underwent a surgical excision of gluteal lesion and postoperative radiotherapy using photons at 8 MV of linear accelerator: the total dose delivered was 22 Gy in 11 days, with a daily fraction of 2 Gy. No relapse was showed at 36 months post-therapy. Several methods seem unsatisfactory for preventing keloid recurrence. The combination of surgery and adjuvant radiotherapy seems an excellent strategy to prevent recurrent disease.

Original languageEnglish
Pages (from-to)8-15
Number of pages8
JournalJournal of Radiology Case Reports
Volume5
Issue number9
DOIs
Publication statusPublished - Sep 2011

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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