Abdominal Keloids – Case Study 3 – Tumoral Umbilical Keloid

This patient presented in November 2010 to Dr. Tirgan for treatment of her umbilical (belly button) keloid. Patient had pierced her belly button about two years prior to her visit, and soon thereafter a keloid had formed at the piercing site. Surgery was performed to remove the original keloid at this site, however, a new keloid formed at the site of surgery to become much bigger than the original keloid that was removed surgically.The image below depicts the keloid at the time of presentation to Dr. Tirgan. 

The keloid was treated with cryotherapy. Near total debulking was achieved within three months, after two cycles of cryotherapy.  The base keloid was treated with intralesional steroid injections.  The image below depicts the outcome of treatment 18 months after the initial presentation.

Four years later, the patient returned with having noticed minor recurrence.  The recurrent keloid was once again treated with cryotherapy.

Four years later, in 2016 the patient returned with having noticed minor recurrence.  The recurrent keloid was once again treated with cryotherapy and responded very well to the treatment.