Upper Arm Keloid

This is the case of a 30 year old female with a large and bulky keloid in her left upper arm. This keloid first developed when she was 17 years old. She first noticed a pimple in her arm which gradually grew larger. The keloid did not respond to steroid injections and she was advised to have surgery. The keloid re-grew soon after surgery. She had more steroid injections and was once again advised to have repeat surgery by the first surgeon, which she refused. It is of interest, that in her late teens, she had developed keloids on both her ears, which were successfully removed with surgery. She came to our practice in February 2014

Upper Arm Keloid

Upper Arm Keloid

She was first treated with cyrotherapy in order to reduce the bulk of her keloid. Due to large size of her keloid, cryotherapy was first applied to one half of her keloid, and then to the other half. She had a good response to cryo and her keloid mass noticeably reduced.

Upper Arm Keloid

Upper Arm Keloid

Cryotherapy was continued and keloid continued to responded, yet we never achieved total clearance of the keloid.

Over the next few months the deep layer of keloid started to slowly re-grow.

Upper Arm Keloid

At this point, we decided to treat the remnant of her keloid with intra-lesional chemotherapy, to which she has had a noticeable response.

Upper Arm Keloid

We are encouraged with her noticeable response to only one full course of chemo treatment. We are continuing now with chemotherapy injections into the keloid. Will post follow up images in a few months.