title: [Clinical efficacy of keloids treated by surgical ablation and immediate postoperative adjuvant radiotherapy].
abstract: OBJECTIVE
  To evaluate the clinical efficacy of intralesional excision and immediate postoperative adjuvant radiotherapy in the treatment of keloids.
  
  
  METHODS
  Eighty-one patients with a combined total of 86 keloids were treated with 6 MeV electron beam radiotherapy after surgical intralesional excision of keloids. All received a total dose of 15 - 20 Gy for 5 consecutive days beginning the day of surgery. The time interval between keloid excision and the delivery of first fraction of radiotherapy was < 6 h. The post-operative follow-up period was 12 - 31 months.
  
  
  RESULTS
  Forty-three cases yielded excellent outcomes and there were 18 fair cases. The overall effective rate was 85.9%. There were 10 recurrent cases. Only adverse effects such as delayed wound-healing and telangiectasias (11.3%) were found. Neither severe complications nor secondary malignancies occurred.
  
  
  CONCLUSIONS
  Intralesional excision of keloid and postoperative electron radiotherapy are well-tolerated and efficacious in the prevention of keloid recurrence.
authors.affiliation: Department of Burns & Plastic Surgery, No. 309 Chinese PLA Hospital, Beijing, China.
authors.forename: Peng-cheng
authors.initials: PC
authors.lastname: Li
authors.forename: Chi-yu
authors.initials: CY
authors.lastname: Jia
authors.forename: Yue-min
authors.initials: YM
authors.lastname: Li
authors.forename: Kai-yu
authors.initials: KY
authors.lastname: Nie
authors.forename: Ying-chun
authors.initials: YC
authors.lastname: Chi
authors.forename: Guo-dong
authors.initials: GD
authors.lastname: Hu
authors.forename: Ya-bin
authors.initials: YB
authors.lastname: Qiu
authors.forename: Zhen
authors.initials: Z
authors.lastname: Liu
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007627:Keloid / Q000532:radiotherapy* / Q000601:surgery* / Q000628:therapy; D008297:Male; D011879:Radiotherapy Dosage