Postoperative radiotherapy of earlobe keloids

M. Caccialanza, V. Dal Pozzo, R. Piccinno, M. Beretta, L. Gnecchi

Research output: Contribution to journalArticle

Abstract

Background. Earlobe keloids are very frequent and often characterized by a peculiar clinical behaviour and response to therapy. They, represent a cosmetic problem, and may often cause pain to the patient as well. Aim of this study was to assess, through a retrospective study of our cases, the effectiveness and safety of postoperative radiotherapy performed in the period 1983-1996. Methods. Seventeen patients affected by 20 keloid lesions were included in this study. Each lesion was histologically ascertained. Twelve were relapsing after previous non-radiological therapies. In 15 out of 17 cases radiotherapy was begun 7 days after surgery and performed with contact X-ray therapy (Chaoul). The total doses administered ranged from 20 to 30 Gy, by means of weekly fractions of 5 Gy each. Results. The mean follow-up of the studied patient series was 64 months (range 7-146 months). Complete remission was obtained in the whole series (two lesions relapsed, but a new remission was obtained in one by means of corticosteroid injections and in the other by means of a new surgical excision followed by postoperative radiotherapy). The twenty-four month relapse-free rate after radiotherapy was 83.36%. The cosmetic results were judged as good in all cases. No complications and/or sequelae related to postoperative radiotherapy were observed. Conclusions. The results obtained support that postoperative radiotherapy performed by means of skin diseases dedicated machines and with an integrate surgical-radiotherapic approach is an effective and safe treatment.

Original languageEnglish
Pages (from-to)399-404
Number of pages6
JournalGiornale Italiano di Dermatologia e Venereologia
Volume133
Issue number6
Publication statusPublished - 1998

Keywords

  • Ear external pathology
  • Keloid
  • Keloid radiotherapy
  • Postoperative complications

ASJC Scopus subject areas

  • Dermatology

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  • Cite this

    Caccialanza, M., Dal Pozzo, V., Piccinno, R., Beretta, M., & Gnecchi, L. (1998). Postoperative radiotherapy of earlobe keloids. Giornale Italiano di Dermatologia e Venereologia, 133(6), 399-404.