Efficacy of radiation therapy following keloidectomy on the recurrence

Hyun Chul Shim, Mihn Sook Jue, Eun Jung Kim, Jongeun Lee, Hyang Joon Park

Research output: Contribution to journalArticle

Abstract

Background: The treatment of keloids is unsatisfactory and even a challenge to many dermatologists or dermatosurgeons. Simple excision of a keloid alone is associated with a high recurrence rate. Thus, surgical treatment should be combined with various adjuvant therapies. Objective: The aim of this study was to evaluate the efficacy of postoperative radiation therapy on the recurrence of keloids. Methods: Between March 2007 and May 2012, 24 patients with keloids (n=56) in various anatomical sites were treated with our protocol consisting of total or subtotal keloidectomy followed by immediate irradiation of 12 ∼ 18 Gy in 3 fractions over 3 days with pře- and postoperative intralesional steroid injection as an adjuvant therapy. After a year to a year and a half, treatment was terminated at that point. Results: When treated keloids were classified according to the degree of flattening, the outcomes were excellent in 48.2% (27/56) of the patients, good in 32.1% (18/56), fair in 14.3% (8/56), and poor in 5.3% (3/56). This treatment protocol showed almost excellent outcomes in earlobe, earhelix, retroauricular region and abdomen. Although the sites with high stretch tension such as chest and shoulder showed above good outcomes 72% 18/25), they also showed three poor results. The most common complication was postinflammatory hyperpigmentation while the most serious one was full-thickness skin necrosis, which was recovered by skin graft later. Conclusion: Radiation therapy is an effective and safe therapy for the prevention of recurrence of keloids following keloidectomy.

Original languageEnglish
Pages (from-to)20-25
Number of pages6
JournalKorean Journal of Dermatology
Volume52
Issue number1
Publication statusPublished - 2014 Jan 1

Fingerprint

Keloid
Radiotherapy
Recurrence
Therapeutics
Intralesional Injections
Skin
Hyperpigmentation
Clinical Protocols
Abdomen
Necrosis
Thorax
Steroids
Transplants

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

Shim, H. C., Jue, M. S., Kim, E. J., Lee, J., & Park, H. J. (2014). Efficacy of radiation therapy following keloidectomy on the recurrence. Korean Journal of Dermatology, 52(1), 20-25.
Shim, Hyun Chul ; Jue, Mihn Sook ; Kim, Eun Jung ; Lee, Jongeun ; Park, Hyang Joon. / Efficacy of radiation therapy following keloidectomy on the recurrence. In: Korean Journal of Dermatology. 2014 ; Vol. 52, No. 1. pp. 20-25.
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abstract = "Background: The treatment of keloids is unsatisfactory and even a challenge to many dermatologists or dermatosurgeons. Simple excision of a keloid alone is associated with a high recurrence rate. Thus, surgical treatment should be combined with various adjuvant therapies. Objective: The aim of this study was to evaluate the efficacy of postoperative radiation therapy on the recurrence of keloids. Methods: Between March 2007 and May 2012, 24 patients with keloids (n=56) in various anatomical sites were treated with our protocol consisting of total or subtotal keloidectomy followed by immediate irradiation of 12 ∼ 18 Gy in 3 fractions over 3 days with pře- and postoperative intralesional steroid injection as an adjuvant therapy. After a year to a year and a half, treatment was terminated at that point. Results: When treated keloids were classified according to the degree of flattening, the outcomes were excellent in 48.2{\%} (27/56) of the patients, good in 32.1{\%} (18/56), fair in 14.3{\%} (8/56), and poor in 5.3{\%} (3/56). This treatment protocol showed almost excellent outcomes in earlobe, earhelix, retroauricular region and abdomen. Although the sites with high stretch tension such as chest and shoulder showed above good outcomes 72{\%} 18/25), they also showed three poor results. The most common complication was postinflammatory hyperpigmentation while the most serious one was full-thickness skin necrosis, which was recovered by skin graft later. Conclusion: Radiation therapy is an effective and safe therapy for the prevention of recurrence of keloids following keloidectomy.",
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Shim, HC, Jue, MS, Kim, EJ, Lee, J & Park, HJ 2014, 'Efficacy of radiation therapy following keloidectomy on the recurrence', Korean Journal of Dermatology, vol. 52, no. 1, pp. 20-25.

Efficacy of radiation therapy following keloidectomy on the recurrence. / Shim, Hyun Chul; Jue, Mihn Sook; Kim, Eun Jung; Lee, Jongeun; Park, Hyang Joon.

In: Korean Journal of Dermatology, Vol. 52, No. 1, 01.01.2014, p. 20-25.

Research output: Contribution to journalArticle

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AU - Jue, Mihn Sook

AU - Kim, Eun Jung

AU - Lee, Jongeun

AU - Park, Hyang Joon

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N2 - Background: The treatment of keloids is unsatisfactory and even a challenge to many dermatologists or dermatosurgeons. Simple excision of a keloid alone is associated with a high recurrence rate. Thus, surgical treatment should be combined with various adjuvant therapies. Objective: The aim of this study was to evaluate the efficacy of postoperative radiation therapy on the recurrence of keloids. Methods: Between March 2007 and May 2012, 24 patients with keloids (n=56) in various anatomical sites were treated with our protocol consisting of total or subtotal keloidectomy followed by immediate irradiation of 12 ∼ 18 Gy in 3 fractions over 3 days with pře- and postoperative intralesional steroid injection as an adjuvant therapy. After a year to a year and a half, treatment was terminated at that point. Results: When treated keloids were classified according to the degree of flattening, the outcomes were excellent in 48.2% (27/56) of the patients, good in 32.1% (18/56), fair in 14.3% (8/56), and poor in 5.3% (3/56). This treatment protocol showed almost excellent outcomes in earlobe, earhelix, retroauricular region and abdomen. Although the sites with high stretch tension such as chest and shoulder showed above good outcomes 72% 18/25), they also showed three poor results. The most common complication was postinflammatory hyperpigmentation while the most serious one was full-thickness skin necrosis, which was recovered by skin graft later. Conclusion: Radiation therapy is an effective and safe therapy for the prevention of recurrence of keloids following keloidectomy.

AB - Background: The treatment of keloids is unsatisfactory and even a challenge to many dermatologists or dermatosurgeons. Simple excision of a keloid alone is associated with a high recurrence rate. Thus, surgical treatment should be combined with various adjuvant therapies. Objective: The aim of this study was to evaluate the efficacy of postoperative radiation therapy on the recurrence of keloids. Methods: Between March 2007 and May 2012, 24 patients with keloids (n=56) in various anatomical sites were treated with our protocol consisting of total or subtotal keloidectomy followed by immediate irradiation of 12 ∼ 18 Gy in 3 fractions over 3 days with pře- and postoperative intralesional steroid injection as an adjuvant therapy. After a year to a year and a half, treatment was terminated at that point. Results: When treated keloids were classified according to the degree of flattening, the outcomes were excellent in 48.2% (27/56) of the patients, good in 32.1% (18/56), fair in 14.3% (8/56), and poor in 5.3% (3/56). This treatment protocol showed almost excellent outcomes in earlobe, earhelix, retroauricular region and abdomen. Although the sites with high stretch tension such as chest and shoulder showed above good outcomes 72% 18/25), they also showed three poor results. The most common complication was postinflammatory hyperpigmentation while the most serious one was full-thickness skin necrosis, which was recovered by skin graft later. Conclusion: Radiation therapy is an effective and safe therapy for the prevention of recurrence of keloids following keloidectomy.

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