Keloid PDF Print E-mail
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Thursday, 10 December 2009 20:38
Keloid:
Definition: Overgrowth of vascular connective tissue which later become fibrotic.
Predisposing factors: It occurs on top of scar and invades the normal skin espicially in 1- Negros. 2-T.B. Patient. 3- During Pregnancy.
Commonest site is over the sternum.
* Early cases gives swelling as soft fibroma.
* Late cases simulate desmoid tumour.
Treatment: Surgical excision followed by irradiation to prevent recurrence which is frequent.
Intralesional incision during excision reduce recurrence as the keloid tissue has no tendency for keloid formation.
 N.B. The hypertrophied scar is a different entity which does not invade healthy skin and its growth occurs only through the postoperative 6 months.
SOURCE: Prof. AYMAN SALEM'S BOOK
Copyright: (Vascular Society of Egypt ) & (Medical Educational web)
Not to be reproduced without permission of Vascular Society of Egypt
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