Would you offer post op adjuvant radiation following keloid resection if it would result in a significant dose being delivered to the patient's thyroid gland?  

This is less of a "medical" answer than one about patient values. As a specialty, we are remarkably conservative, especially when it comes to benign disease (see our reluctance to treat osteoarthritis, compared to other nations). Post-op treatment of keloids is essentially an aesthetic choice. We k...