426 / 1609
•
125 pat with 264 keloids (Los Angeles CA)
excision alone (n = 28),
post-excision EBRT (n = 197),
post-excision HDR brachytherapy (n = 39).
TREATMENT: SURGERY vs EBRT vs HDR
EBRT better
•
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).
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.