CPB Budapest 2017

• 169 keloids treated with HDR (1991-1998). • 147 surgery + HDR 4 x 3 Gy in 24 h (9am, 15pm, 21pm, and 9 am next day). TREATMENT • 22 definitive HDR 18 Gy in 6 x 3 Gy in one ½ days • HDR within 30-60 min of surgery at 1 cm from the center of the catheter • 7 years FU recurrences 4.7% prior surgery 3.4%, HDR alone: 13.6%. • Cosmetic results good or excellent in 130/147 patients • Skin pigmentation changes: 10 telangiectasias: 12

Guix B, Henríquez I, Andrés A, Finestres F, Tello JI, Martínez A. Treatment of keloids by high-dose-rate brachytherapy: A seven-year study. IJROBP 2001; 50:167-72.