[Surgery and curietherapy of keloids].
Postoperative irradiation of keloids allows a decrease of the recurrence rate by about 50%, compared to surgery alone. A review of the literature illustrates the benefits due to the irradiation, and describes the techniques available. The Iridium 192 interstitial brachytherapy, with per-operative implantation of the plastic tubes and immediate irradiation of 20 Gy at 5 mm depth, is detailed as used by French teams. The analysis of the published results allows to recommend this technique which is tailored to each clinical situation, safe, and easy to perform by the surgeon.
Peiffert
D
D
Service de Curiethérapie, Centre Régional de Lutte contre le Cancer (Alexis Vautrin), Vandoeuvre-les-Nancy.
Chassagne
J F
JF
Pernot
M
M
Hoffstetter
S
S
Dinh-Doan
G
G
Benyacoub
N
N
Abs
R
R
Stricker
M
M
D001918:Brachytherapy / Q000009:adverse effects / Q000379:methods; D003131:Combined Modality Therapy; D006801:Humans; D007496:Iridium Radioisotopes / Q000627:therapeutic use; D007627:Keloid / Q000532:radiotherapy* / Q000601:surgery*; D011182:Postoperative Care
D007496:Iridium Radioisotopes
Chirurgie et curiethérapie des chéloïdes.