Chest Keloids – Case Study 5 – Inflammatory Chest Keloids:
This 60-year-old Asian gentleman presented to Dr. Tirgan in February 2018 with two inflammatory chest keloids. His first keloid developed when he was a teenager and ever since he has been suffering from this condition. Prior to his visit with Dr. Tirgan, this patient had received several steroid injections without seeing significant results. The image below depicts his chest keloids at the time of his first visit with Dr. Tirgan in February 2018.
Inflammatory chest keloids
Inflammatory chest keloids quite often respond very well to intra-lesional injections of anti-cancer chemotherapy (ILC) drugs. The image below was taken three weeks after the first ILC injection and clearly shows improvement in the redness and thickness of both treated keloids.
Inflammatory chest keloids responding to chemotherapy
Encouraged with these preliminary results, the treatment with ILC was continued on a regular basis. The images shown below were taken in June 2018, after 5 rounds of ILC. Although we had achieved some improvements in both keloids, there was remaining keloid tissue that had become somewhat resistant to ILC. At this time, this keloid lesion was treated with cryotherapy. The second image depicts the keloid immediately after the application of cryotherapy.
Inflammatory chest keloids - treatment result
Inflammatory chest keloids - Cryotherapy
Over the next several months, the remnants of the keloids were treated with few more cycles of cryotherapy as well as ILC. The image below depicts the appearance of these keloids in March 2019, one year after initiation of treatment.
Inflammatory chest keloids - one year later.
The image below depicts the appearance of the keloids in January 2020.
Inflammatory chest keloids - Treatment Results
This case is a good example of improvements that can be achieved by combining various medical treatments. ILC is a potent method of treatment for inflammatory chest keloids. however, compliance with the treatment and also perseverance are as important as the treatment itself.