Anterior Chest Keloid

This is a case of a keloid on the anterior chest.

It gradually enlarged over several years after initially developing from what appeared to be a small insect bite. In individuals with a keloid predisposition, even minor skin lesions such as small pimples or insect bites can progressively grow into large keloids.

The vivid red coloration indicates high keloid activity, which is typically associated with significant pain and itching.

Complete excision would have caused significant distortion. Therefore, approximately one-third of the lesion was partially excised, followed by adjuvant electron beam radiation therapy. The patient achieved complete recovery without recurrence.

Constitutional keloids can be successfully cured without total excision by combining partial surgical removal with radiation therapy. However, this treatment approach is not widely known.

Name of procedure

Anterior Chest Keloid Excision + Electron Beam Radiation (20 Gy)

Age

40s: Female

Risks and Side Effects

Contact dermatitis from tape

Downtime

Approximately 1 week

• Pain and itching resolved by postoperative day 2

• Subcutaneous bruising

Postoperative Care

• Activity restriction with a compression corset for 3 months

• Local immobilization with surgical tape and Bioplast dressing for 3 months

Cost Including Tax

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