Axillary Area Keloids
Axilla refers the area under the arm. Keloids rarely form in the axillary area, perhaps in less than 1% of keloid patients. The case presented her was a 40-year-old Asian female who sought medical care from Dr. Tirgan in September 2014 for large keloid that had formed in her right axilla.
She had developed a minor skin tag in her right axilla few years prior to this presentation. The skin tag was surgically removed and soon thereafter, a keloid formed at the site of surgery. Subsequently, repeated surgeries were performed to remove the keloid, however, there was a recurrence after each surgery. The end result is depicted here as a massive keloid covering much of the right axilla.
In managing tumors that grow in axillary area, specially in women, one must always exclude the possibility of metastatic breast cancer involving the axilla. A biopsy was performed from this tumor to be certain that this process was not due to cancer.
The biopsy result was consistent with a keloid. The patient was treated with repeated cycles of cryotherapy to reduce the bulk of this keloid. The video here shows the first application of cryotherapy to this keloid.
Significant reduction in the mass of this keloid was achieved with few cycles of cryotherapy. The photograph below shows the result of the treatment. Unfortunately, due to its advanced nature, the keloid process had invaded the deep tissue in axilla.
Had this keloid at its onset been treated with cryotherapy, as opposed to surgery, the outcome would have been significantly better.