Open AccessMulti-stage surgery combined with radiotherapy for treatment of giant anterior chest wall keloid
Author(s) -
Qingwu Liu,
Ping Li,
Zhiyong Yang,
Baoquan Qu,
Chunfang Qin,
Shengnan Meng,
Huijuan Fang,
Ruiying Wu,
Tiantian Cheng,
Dingquan Yang
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000018886
Subject(s) - medicine , keloid , radiation therapy , surgery , histopathology , stage (stratigraphy) , itching , pathology , paleontology , biology
Rationale: Giant keloids often have indications for surgical resection, but postoperative reconstruction of the skin and high recurrence of keloids are a challenge for clinical treatment. This article reports a rare successful treatment of a giant keloid in the anterior chest wall by multistage surgery combined with radiotherapy, which is why this case is meaningful. Patient concerns: A 66-year-old woman presented a giant keloid with ulcerations and severe itching on the anterior chest wall. She had a history of keloid disease for more than 10 years, and had been treated by multiple operations, with no success. Diagnoses: The patient was diagnosed as keloid based on her history and symptoms. Histopathology findings supported our diagnosis. Interventions: We successfully excised the keloid after 5 operations and 2 rounds of electron-beam radiotherapy, which was applied at 24 hours after the 4th and 5th operation. Outcomes: There was no sign of recurrence over the follow-up period of 24 months. Lessons: The combination of multistage surgery and radiotherapy presents as a good choice for the treatment of giant keloids.