TY - JOUR
AR - RCO-2020-1-101
TI - Keloids of the Lower Abdomen, Mons and Vulva: Several Case Studies Highlighting a Successful Approach to Treatment
AU - Cassandra A Ligh, 
AU - Katie, Magoon
AU - Paris D., Butler
JO - Radiotherapy and Clinical Oncology
PY - 2020
DA - Fri 20, Mar 2020
SN - 2674-2497
DO - http://dx.doi.org/10.31487/j.RCO.2020.01.01
UR - https://www.sciencerepository.org/keloids-of-the-lower-abdomen_RCO-2020-1-101 
KW - Keloids, lower abdomen keloids, mons keloids, keloid treatment technique, hypertrophic scar, scar, collagen
AB - 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.