CPB Ljubljana 2018 course book

TREATMENT: SURGERY vs EBRT vs HDR

• 125 pat with 264 keloids (Los Angeles CA)

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excision alone (n = 28),

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post-excision EBRT (n = 197),

➢ post-excision HDR brachytherapy (n = 39). • 54% recurred after surgical excision alone (9m FU) • 19% recurred with post-excision EBRT (42m FU) • 23% recurred with post-excision HDR (12m FU). (P < .01). • EBRT significantly delayed the time of keloid recurrence over brachytherapy by a mean difference of 2.5 years (P < .01).

Is EBRT better?

Hoang D, Reznik R, Orgel M, Li Q, Mirhadi A, Kulber DA. Surgical excision and adjuvant brachytherapy vs external beam radiation for the effective treatment of keloids: 10-Year Institutional Retrospective Analysis. Aesthet Surg J. 2017 Feb;37(2):212-225.