Keloids of the Lower Abdomen, Mons and Vulva: Several Case Studies Highlighting a Successful Approach to Treatment

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Author Info

Cassandra A Ligh Katie Magoon Paris D. Butler

Corresponding Author

Paris D. Butler
University of Pennsylvania, Division of Plastic and Reconstructive Surgery, Philadelphia, USA

A B S T R A C T

Background: Perineal keloids can have an overwhelming impact on patients’ lives including pain, skin breakdown, infection, and interference with intercourse. There is a paucity of literature addressing the effective treatment techniques. Cases: Three case of perineal keloid treatment, with at least 13-month follow up, are presented. All patients are African American females who were recommended a treatment plan that combined surgical wide local excision and radiation therapy. All patients had aesthetically acceptable outcomes with recurrence-free results at least 13-months post procedure. Conclusions: These three cases describe the successful treatment of perineal keloids that utilize a combination of surgical excision with targeted radiotherapy. This approach can be offered to patients with recurrent keloidal masses and the presented principles can be utilized to achieve recurrence-free results. Teaching Points: 1. Readers will understand the basics of the pathophysiology of keloid formation and their effect on patients who experience them in sensitive areas such as the mons, vulva, and/or lower abdomen. 2. Readers will be able to describe and implement the described technique for management of keloids in these potentially sensitive areas.

Article Info

Article Type

Case Report

Publication history

Received: Tue 21, Jan 2020
Accepted: Mon 09, Mar 2020
Published: Fri 20, Mar 2020

Copyright

© 2023 Paris D. Butler. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.RCO.2020.01.01