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TAKE HOME MESSAGES:
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Perioperative brachytherapy is an optimal option to prevent
recurrences after surgery of keloids
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LDR and HDR offer similar results, maybe better with HDR
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First session must start before 6 hours after surgery
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Total doses are low
3 Gy x 4 at 7-10mm total: 12Gy
5 Gy x 3-4 at 5mm
15-20 Gy
6 Gy x 2-3 at 5mm
12-18 Gy
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Earlobe keloids have more recurrences (not easily covered?)
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Recurrences can be radiated again.