422 / 1609
•
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.