Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case Series

Keloids are a common fibroproliferative disorder and various medical and surgical treatment options are available for managing them. However, some keloids can be resistant to these treatments. In such cases, the current recommendation is to perform surgical excision followed by early radiotherapy to...

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Main Authors: Komala Abhishek Reddy, Ashish Kumar Gupta, Shashank Lamba
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2025-03-01
Series:International Journal of Anatomy Radiology and Surgery
Subjects:
Online Access:https://www.ijars.net/articles/PDF/3041/75009_CE[Ra1]_F(SHU)_QC(PS_SHU)_PF1(RI_SHU)_redo_PFA_NC(SHU)_PN(SHU).pdf
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author Komala Abhishek Reddy
Ashish Kumar Gupta
Shashank Lamba
author_facet Komala Abhishek Reddy
Ashish Kumar Gupta
Shashank Lamba
author_sort Komala Abhishek Reddy
collection DOAJ
description Keloids are a common fibroproliferative disorder and various medical and surgical treatment options are available for managing them. However, some keloids can be resistant to these treatments. In such cases, the current recommendation is to perform surgical excision followed by early radiotherapy to reduce the risk of recurrence. A retrospective analysis was conducted on patients who underwent keloid excision at a tertiary care centre between January 2011 and December 2020. The study included 10 patients (2 females, 8 males) with a mean follow-up period of five years. Unfortunately, all keloids recurred, with the average time to recurrence being approximately two years postsurgery. After a recurrence, all patients received conservative management. It is suggested that ethnicity may contribute to the high recurrence rate observed. Further studies, including randomised controlled trials from the Indian subcontinent, are needed to determine the most effective treatment options for keloids.
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publishDate 2025-03-01
publisher JCDR Research and Publications Pvt. Ltd.
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series International Journal of Anatomy Radiology and Surgery
spelling doaj-art-7a324772e0ef4cc096e027f6c1e5fb4c2025-08-20T02:48:19ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742025-03-01142010310.7860/IJARS/2025/75009.3041Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case SeriesKomala Abhishek Reddy0Ashish Kumar Gupta1Shashank Lamba2Assistant Professor, Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India.Professor, Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India.Professor, Department of Plastic Surgery, Christian Medical College, Vellore, Tamil Nadu, India.Keloids are a common fibroproliferative disorder and various medical and surgical treatment options are available for managing them. However, some keloids can be resistant to these treatments. In such cases, the current recommendation is to perform surgical excision followed by early radiotherapy to reduce the risk of recurrence. A retrospective analysis was conducted on patients who underwent keloid excision at a tertiary care centre between January 2011 and December 2020. The study included 10 patients (2 females, 8 males) with a mean follow-up period of five years. Unfortunately, all keloids recurred, with the average time to recurrence being approximately two years postsurgery. After a recurrence, all patients received conservative management. It is suggested that ethnicity may contribute to the high recurrence rate observed. Further studies, including randomised controlled trials from the Indian subcontinent, are needed to determine the most effective treatment options for keloids.https://www.ijars.net/articles/PDF/3041/75009_CE[Ra1]_F(SHU)_QC(PS_SHU)_PF1(RI_SHU)_redo_PFA_NC(SHU)_PN(SHU).pdffibroblastsradiationscarsskin graftsurgery
spellingShingle Komala Abhishek Reddy
Ashish Kumar Gupta
Shashank Lamba
Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case Series
International Journal of Anatomy Radiology and Surgery
fibroblasts
radiation
scars
skin graft
surgery
title Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case Series
title_full Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case Series
title_fullStr Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case Series
title_full_unstemmed Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case Series
title_short Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case Series
title_sort surgical excision and postoperative radiotherapy for chest keloids a case series
topic fibroblasts
radiation
scars
skin graft
surgery
url https://www.ijars.net/articles/PDF/3041/75009_CE[Ra1]_F(SHU)_QC(PS_SHU)_PF1(RI_SHU)_redo_PFA_NC(SHU)_PN(SHU).pdf
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AT ashishkumargupta surgicalexcisionandpostoperativeradiotherapyforchestkeloidsacaseseries
AT shashanklamba surgicalexcisionandpostoperativeradiotherapyforchestkeloidsacaseseries