Giant keloid of left buttock treated with post-excisional radiotherapy

Authors

  • Michele Troiano
  • Anna Simeone
  • Gerardo Scaramuzzi
  • Salvatore Parisi
  • Giuseppe Guglielmi

DOI:

https://doi.org/10.3941/jrcr.v5i9.775

Keywords:

giant keloid, post-excisional radiotherapy, local control

Abstract

Keloids are defined as excessive scar tissue formation extending beyond the area of the original skin injury and occurring in predisposed individuals. While no single treatment has proven widely effective, several series report excellent outcomes for keloids with post-surgery radiation therapy as described in the literature. We present a patient with recurrent giant keloid of left buttock after several surgical removals, that at physical examination shows the size of  40x22x10 cm in the largest dimension. Patient underwent a surgical excision of gluteal lesion and postoperative radiotherapy using photons at 8 MV of linear accelerator: the total dose delivered was 22 Gy in 11 days, with a daily fraction of 2 Gy. No relapse was showed at 36 months post-therapy. Several methods seem unsatisfactory for preventing keloid recurrence. The combination of surgery and adjuvant radiotherapy seems an excellent strategy to prevent recurrent disease.

Author Biographies

Michele Troiano

M.D.

Department of Oncology

Anna Simeone

M.D

Department of Radiology

Gerardo Scaramuzzi

M.D.

Department of Surgery

Salvatore Parisi

M.D.

Department of Oncology

Giuseppe Guglielmi

Professor of Radiology

University of Foggia

IRCCS Hospital Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy

Journal of Radiology Case Reports September 2011 issue - Giant keloid of left buttock treated with post-excisional radiotherapy by Troiano et al.

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Published

2011-09-07

Issue

Vol. 5 No. 9 (2011)

Section

Musculoskeletal Radiology

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