Treatment of keloids with excision and postoperative X-ray irradiation.
During a 9-year period 47 patients with 62 keloids, treated with excision and postoperative superficial X-ray irradiation, were included in a retrospective study. The follow-up time was 6 months to 9 years. 88% experienced a good or excellent result. Single or fractioned dose and time interval between excision and radiation did not influence the result. Hyperpigmentation was noted as a side effect in 16 of 47 patients. More favorable results were obtained in the treatment of small keloids and of keloids located in the head-neck area compared to those on the trunk and the extremities.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004307:Dose-Response Relationship, Radiation; D004427:Ear Diseases / Q000532:radiotherapy / Q000601:surgery; D004431:Ear, External; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007627:Keloid / Q000150:complications / Q000532:radiotherapy / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010859:Pigmentation Disorders / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology; D011184:Postoperative Period; D011537:Pruritus / Q000209:etiology / Q000532:radiotherapy / Q000601:surgery