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CC BY-NC-ND 4.0 · South Asian J Cancer 2025; 14(04): 846-850
DOI: 10.1055/s-0042-1748911
Original Article
Miscellaneous Section

Ear Keloids Treated with Postoperative Electrons: A Case Series

Autor*innen

  • Pankaj Vats

    1   INHS Asvini, Mumbai, Maharashtra, India

  • Arti Sarin

    1   INHS Asvini, Mumbai, Maharashtra, India

  • Hari Mukundan

    1   INHS Asvini, Mumbai, Maharashtra, India

  • Kirti Tyagi

    1   INHS Asvini, Mumbai, Maharashtra, India

  • Deboleena Mukherjee

    1   INHS Asvini, Mumbai, Maharashtra, India

  • G Vishwanath

    2   Dr DY Patil Medical College and Hospital, Pune, Maharashtra, India
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Abstract

Introduction

Multiple modalities exist for treating keloids ranging from surgical, medical, chemotherapeutic, and radiation therapy. Different techniques of radiation therapy have been used to treat keloids as an adjuvant to surgical excision. With this case series, we report our experience of using electron beam radiation therapy in this setting.

Materials and Methods

We retrospectively analyzed 16 ear keloids treated in 10 patients from January 2013 to October 2015 with surgical excision followed by electron beam to a dose of 10 Gy in two fractions over two consecutive days in immediate postoperative period. Patients were evaluated for recurrent lesions, cosmesis, and adverse effects.

Results

With a median follow-up of 78 months (range: 67–100 months), recurrent lesion was seen in five cases; a local control rate of 68.75% was seen. Median recurrence-free period was 67 months (range: 12–100 months). Acceptable cosmesis was seen in all cases and no acute or chronic adverse effects were seen.

Conclusion

The large follow-up period in our series establishes the role of electron beam radiation therapy in attaining long-term control in keloid patients. The lower total dose with higher dose per fraction used in our patients has acceptable control along with good cosmesis and absent adverse effects.

Keywords

keloids - ear piercing - electrons - radiation therapy


Publikationsverlauf

Artikel online veröffentlicht:
16. August 2022

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