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43 patients with 67 keloids in total.

After extralesional excision, HDR

2

×

6 Gy

the first

within 4 hours

after surgery and the second within

TREATMENT: RECALCITRANT KELOIDS

24 hours.

Recurrence rate:

3.1%

mean FU 33.6 months.

Complaints of pain and pruritus decreased by 82.9

and 87.2 percent,

Pigmentation problems were seen in 21.4%

Van Leeuwen MC, Stokmans SC, Bulstra AE et at. High-dose-rate brachytherapy for the

treatment of recalcitrant keloids: a unique, effective treatment protocol. Plast Reconstr Surg.

2014;134:527-34

Are 2 fractions

enough?