Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication

Objective: Radiation therapy combined with surgical excision was considered as one of the most effective treatment plans for keloid lesions. However, there was no unanimity found over present literatures regarding the issue on optimized treatment strategy for keloids. We here provide a comprehensive...

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Main Authors: Jing Xu, Elan Yang, Nan-Ze Yu, Xiao Long
Format: Article
Language:English
Published: Wolters Kluwer 2017-01-01
Series:Chinese Medical Journal
Subjects:
Online Access:http://www.cmj.org/article.asp?issn=0366-6999;year=2017;volume=130;issue=14;spage=1715;epage=1721;aulast=Xu
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author Jing Xu
Elan Yang
Nan-Ze Yu
Xiao Long
author_facet Jing Xu
Elan Yang
Nan-Ze Yu
Xiao Long
author_sort Jing Xu
collection DOAJ
description Objective: Radiation therapy combined with surgical excision was considered as one of the most effective treatment plans for keloid lesions. However, there was no unanimity found over present literatures regarding the issue on optimized treatment strategy for keloids. We here provide a comprehensive review over this issue and emphasize on the influencing factors. Data Sources: The data analyzed in this review were searched from articles included in PubMed and EMBASE databases. Study Selection: The original articles and critical reviews discussing the application of radiation therapy in keloids treatment were selected for this review. Results: The application of radiation therapy has transitioned from simple superficial X-ray irradiation to brachytherapy. Furthermore, several factors including radiation type, dose, fraction, interval, and complications were reviewed, and the results revealed that these factors were significant toward clinical outcome at various levels. Conclusions: Both past and present evidence support the idea that combination therapy of radiation and surgical therapy is safe and feasible. However, the optimization of treatment strategy was based on different radiation types and should take dose, fractions, interval, and complications into consideration, which will then decrease the rate of recurrence and increase the level of satisfaction.
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spelling doaj.art-27f5c4ab6290457e8f38fbc097eb29e12022-12-22T01:10:06ZengWolters KluwerChinese Medical Journal0366-69992017-01-01130141715172110.4103/0366-6999.209896Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and ComplicationJing XuElan YangNan-Ze YuXiao LongObjective: Radiation therapy combined with surgical excision was considered as one of the most effective treatment plans for keloid lesions. However, there was no unanimity found over present literatures regarding the issue on optimized treatment strategy for keloids. We here provide a comprehensive review over this issue and emphasize on the influencing factors. Data Sources: The data analyzed in this review were searched from articles included in PubMed and EMBASE databases. Study Selection: The original articles and critical reviews discussing the application of radiation therapy in keloids treatment were selected for this review. Results: The application of radiation therapy has transitioned from simple superficial X-ray irradiation to brachytherapy. Furthermore, several factors including radiation type, dose, fraction, interval, and complications were reviewed, and the results revealed that these factors were significant toward clinical outcome at various levels. Conclusions: Both past and present evidence support the idea that combination therapy of radiation and surgical therapy is safe and feasible. However, the optimization of treatment strategy was based on different radiation types and should take dose, fractions, interval, and complications into consideration, which will then decrease the rate of recurrence and increase the level of satisfaction.http://www.cmj.org/article.asp?issn=0366-6999;year=2017;volume=130;issue=14;spage=1715;epage=1721;aulast=XuCombination Therapy; Keloids; Radiation Therapy
spellingShingle Jing Xu
Elan Yang
Nan-Ze Yu
Xiao Long
Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication
Chinese Medical Journal
Combination Therapy; Keloids; Radiation Therapy
title Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication
title_full Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication
title_fullStr Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication
title_full_unstemmed Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication
title_short Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication
title_sort radiation therapy in keloids treatment history strategy effectiveness and complication
topic Combination Therapy; Keloids; Radiation Therapy
url http://www.cmj.org/article.asp?issn=0366-6999;year=2017;volume=130;issue=14;spage=1715;epage=1721;aulast=Xu
work_keys_str_mv AT jingxu radiationtherapyinkeloidstreatmenthistorystrategyeffectivenessandcomplication
AT elanyang radiationtherapyinkeloidstreatmenthistorystrategyeffectivenessandcomplication
AT nanzeyu radiationtherapyinkeloidstreatmenthistorystrategyeffectivenessandcomplication
AT xiaolong radiationtherapyinkeloidstreatmenthistorystrategyeffectivenessandcomplication