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Topics:
Radiation Oncology • Non-malignant Disease
What is your regimen for treating a keloid with radiation alone?
For patients who are not candidates for excision, have you effectively used radiation alone? There is a study using 7.5 Gy x5 in weekly doses (Malaker et al. Retrospective Analysis of Treatment of Unresectable Keloids with Primary Radiation Over 25 Years. Clinical Oncology, 16(4): 2004). Are there any other successful regimens available?
Answer from: Radiation Oncologist at Academic Institution
Our institutional experience (Hoang, Aesthet Surg J 2017) has largely been with post-excisional RT, although at our institution we have on occasion treated definitively with RT alone. We do not have a standardized regimen for primary RT at our institution and the Malaker et al article is the only pu...
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Answer from: Radiation Oncologist at Community Practice
Another published radiation only treatment option for keloids is with HDR brachytherapy (Guix et al, IJROBP 2001). The following article treated 22 patients with HDR brachytherapy alone. Plastic tubes were placed through the skin to cover the whole scar following local anesthesia. In these patients ...