title: Surgical management for large chest keloids with internal mammary artery perforator flap.
abstract: Therapy for large symptomatic keloids is often plagued with complicated reconstruction manner and recurrence. This article reports a rare treatment combination for a chest keloid with internal mammary artery perforator flap reconstruction and radiation therapy. We excised the keloid and covered the defect with an internal mammary artery perforator flap. Immediate electron-beam irradiation therapy was applied on the second postoperative day. There was no sign of recurrence over the follow-up period of 18 months. The combination of internal mammary artery perforator flap and immediate radiation therapy is useful when faced with chest keloids of similar magnitude and intractability.
authors.affiliation: Zhejiang University, Hangzhou, Zhejiang, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Xue
authors.affiliation: Zhejiang University, Hangzhou, Zhejiang, China.
authors.forename: Huan
authors.initials: H
authors.lastname: Qian
mesh_terms: D006801:Humans; D007627:Keloid / Q000532:radiotherapy / Q000601:surgery*; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D008875:Middle Aged; D061525:Perforator Flap / Q000098:blood supply*; D019651:Plastic Surgery Procedures / Q000379:methods; D013909:Thorax; D016896:Treatment Outcome