Surgical Excision and Postoperative Radiotherapy for Chest Keloids: A Case Series

Keloids are a common fibroproliferative disorder and various medical and surgical treatment options are available for managing them. However, some keloids can be resistant to these treatments. In such cases, the current recommendation is to perform surgical excision followed by early radiotherapy to reduce the risk of recurrence. A retrospective analysis was conducted on patients who underwent keloid excision at a tertiary care centre between January 2011 and December 2020. The study included 10 patients (2 females, 8 males) with a mean follow-up period of five years. Unfortunately, all keloids recurred, with the average time to recurrence being approximately two years postsurgery. After a recurrence, all patients received conservative management. It is suggested that ethnicity may contribute to the high recurrence rate observed. Further studies, including randomised controlled trials from the Indian subcontinent, are needed to determine the most effective treatment options for keloids.