Postoperative radiotherapy with an electron beam on keloid scar: epidemiological evaluation in a teaching hospital

Autor: Balduino Ferreira de Menezes, Lucas Vannuchi Magnani, Batista de Oliveira, Aristides Augusto Palhares
Jazyk: English<br />Portuguese
Rok vydání: 2023
Předmět:
Zdroj: Revista Brasileira de Cirurgia Plástica, Vol 38, Iss 2, Pp 01-09 (2023)
Druh dokumentu: article
ISSN: 1983-5175
2177-1235
DOI: 10.5935/2177-1235.2023RBCP0691-EN
Popis: Introduction: Keloids are one of the most aggressive spectrums of healing disorders. They have a unique pathophysiology and multiple specific genetic and cellular factors, which have not yet been fully elucidated. So far, literature reviews have found the influence of genetics, injury site, and ethnicity on the incidence and rate of recurrence. Furthermore, the need to associate an adjuvant method with surgical excision has already been verified, but the best therapy has yet to be defined. Method: A retrospective analysis of medical records was carried out to assess the profile of patients who underwent postoperative radiotherapy with an electron beam to treat keloids at the Hospital das Clínicas da Faculdade de Medicina de Botucatu between 2015 and 2019. Results: Data from 131 patients were evaluated, with 269 keloid scars treated. The average duration of treatment was 51 days, and the number of sessions was 17. White patients were predominant (78%) and women (70%), with surgical incision being the main cause of formation (49%) and ear the most identified location (33%). Women were more likely to complete the proposed treatment (p=0.04), while non-literates completed less than those who had at least completed primary or secondary education (p
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