My standard protocol of postoperative radiation therapy after resection of keloids and hypertrophic scars / Papers of The 11th Japan Scar Workshop


Papers of The 11th Japan Scar Workshop
3. My standard protocol of postoperative radiation therapy after resection of keloids and hypertrophic scars Shigehiko Kuribayashi Department of Radiation Therapy, Nippon Medical School Hospital, Tokyo, Japan
Postoperative irradiation is currently the most effective treatment for preventing the recurrence of keloids and hypertrophic scars after resection, although it is likely that other treatment options will be developed in the future. The most widely used method is electron beam radiotherapy. However, brachytherapy is used as an alternative when the wounds are difficult to irradiate with an external beam. Although a few academic societies have published official guidelines for the postoperative irradiation of patients after keloid or hypertrophic scar resection, there is still significant global heterogeneity in terms of the treatment tools, the quality of the radioactive rays, and the treatment schedule that are used in postoperative radiation therapy. I will present the standard protocol of postoperative irradiation therapy that our institution employs. This protocol is based on our extensive experience and knowledge of the related medical literature. I propose tentatively that this protocol could serve as a guideline for postoperative radiation therapy after resection of keloids or hypertrophic scars.
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