CPB Ljubljana 2018 course book

TREATMENT: LDR vs HDR

• I.E.O. Milan. LDR 16 Gy, HDR 12 Gy • recurrence rates were similar

↑ recurrences  Low doses

46 keloids with LDR: 30.4% 50 keloids with HDR: 38%

• Recurrence rate was higher in males, <44 years, for arms, neck, and chest wall anatomic sites and for symptomatic keloids • pain, itching, or stress, present at diagnosis in 64 keloids, were relieved in 92% with HDR but in 68% with LDR.

De Cicco L, Vischioni B, Vavassori A, et al. Postoperative management of keloids: Low-dose rate and high-dose-rate brachytherapy. Brachytherapy; 2014; 13:508-513.