CPB Ljubljana 2018 course book

TAKE HOME MESSAGES:

• Perioperative brachytherapy is an optimal option to prevent recurrences after surgery of keloids, especially useful in complex and irregular surfaces.

• LDR and HDR offer similar results, maybe better with HDR

• First session must start before 6-7 hours after surgery

• Total doses are low ➢ 3 Gy x 4 at 7-10mm total:

12Gy

➢ 5 Gy x 3-4 at 5mm ➢ 6 Gy x 2-3 at 5mm

15-20 Gy 12-18 Gy

• Earlobe keloids have more recurrences (not easily covered?)

•Recurrences can be radiated again.