Short communication, Note
Different Therapeutic Modalities in a Patient with Multiple Spontaneously Developed Keloids – A Case Report
Zrinka Bukvić-Mokos
Jasna Lipozenčić
Branka Marinović
Abstract
Keloids are benign tumors that usually develop as an excessive healing response to injury. They remain a challenging
therapeutic problem to this day. Numerous treatment approaches are available, yet therapeutic results are often not satisfactory.
A female patient with multiple spontaneously developed keloids on her trunk is presented. In this patient, four
different therapeutic options were employed at different sites, with variable responses. The first option included cryotherapy,
with poor effect. Slight flattening was observed after intralesional corticosteroid therapy. Treatment with excision
followed by radiotherapy resulted in recurrence after 3 months. The best effect was noticed when excision and injection
of corticosteroids into surgical margins were followed by radiotherapy. To the authors' knowledge, this is the first
report of three-modal therapy in the management of keloids, which resulted in no recurrences over a 3-year follow-up.
Keywords
keloids; excision; intralesional corticosteroids; radiotherapy
Hrčak ID:
27639
URI
Publication date:
13.12.2006.
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