40 yr female having recurrent Keloid right sole. Repeated surgical excisions (4 times) were done with skin grafting form left thigh. Hypertrophy is also present over left thigh. Injections of Triamicalone were also given but no benefit. what will be the management.

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Surgical excision followed by a low dose radiations is generally associated with lesser chances of recurrence

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Surgical excision has to be done If everything has been tried then def go for Radiation therapy n see response

Surgical excision followed by a low dose radiation is generally associated with lesser chances of recurrence.

Looks like dermatitis rosaries? Repeat bay. If truly fibroproliferative condition,intralesional excision with secondary healing,(due to fear of STG donor site keloid. Early Post healed period, aggressivlt treat with intralesional kelloid,lPL on vascular mode and silicone. Still proliferate give focal radiotherapy in appropriate dose

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HP REPORTS SAY KELOID AND HYPERTROPHIC SCAR. Pls post hpe images for opinion

Excision SSG Compression garments

Thank you doctor
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Intralesional shaving of keloid with partial thickness skin grafting followed by low dose radiation can be attempted

Laser therapy

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Laser therapy

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Laser rx

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