Giant  keloid of left buttock treated with post-excisional radiotherapy

Giant keloid of left buttock treated with post-excisional radiotherapy

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

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  40x22x10 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.

Keywords


giant keloid; post-excisional radiotherapy; local control



DOI: https://doi.org/10.3941/jrcr.v5i9.775