Successful treatment of a keloid on the upper lip by trepanation and radiotherapy: a case report

Purpose: Keloid tissue represents an abnormal proliferation of fibroblasts, typically resulting from skin injury. These lesions can lead to significant physiological dysfunction and aesthetic concerns, particularly when located on the face. Traditional treatments, such as intralesional injections, l...

Full description

Saved in:
Bibliographic Details
Main Authors: Xianghui Li, Yong Wei, Zhuren Ruan, Gao Wei, Zhijian Yao
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2025.2451394
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841542612186562560
author Xianghui Li
Yong Wei
Zhuren Ruan
Gao Wei
Zhijian Yao
author_facet Xianghui Li
Yong Wei
Zhuren Ruan
Gao Wei
Zhijian Yao
author_sort Xianghui Li
collection DOAJ
description Purpose: Keloid tissue represents an abnormal proliferation of fibroblasts, typically resulting from skin injury. These lesions can lead to significant physiological dysfunction and aesthetic concerns, particularly when located on the face. Traditional treatments, such as intralesional injections, laser therapy, and surgical excision, have shown limited efficacy and are associated with high recurrence rates.Materials and methods: In a recent case, a 19-year-old male with a keloid on the upper lip did not respond to local injections of triamcinolone acetonide (TAC) or carbon dioxide ablative fractional resurfacing laser therapy.Results: A combined treatment approach involving trepanation and superficial radiotherapy successfully flattened the keloid tissue, with no recurrence observed during a 3-year follow-up period.Conclusions: This case underscores the potential efficiency and safety of combined therapeutic interventions and contributes valuable evidence towards the development of novel treatment strategies for keloids.
format Article
id doaj-art-516850f18f054fd0bc1064ca3ba0b4d4
institution Kabale University
issn 0954-6634
1471-1753
language English
publishDate 2025-12-01
publisher Taylor & Francis Group
record_format Article
series Journal of Dermatological Treatment
spelling doaj-art-516850f18f054fd0bc1064ca3ba0b4d42025-01-13T23:15:00ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532025-12-0136110.1080/09546634.2025.2451394Successful treatment of a keloid on the upper lip by trepanation and radiotherapy: a case reportXianghui Li0Yong Wei1Zhuren Ruan2Gao Wei3Zhijian Yao4Department of Dermatology and Venereology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Dermatology and Venereology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Dermatology and Venereology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Dermatology and Venereology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaDepartment of Dermatology and Venereology, The First Affiliated Hospital of Guangxi Medical University, Nanning, ChinaPurpose: Keloid tissue represents an abnormal proliferation of fibroblasts, typically resulting from skin injury. These lesions can lead to significant physiological dysfunction and aesthetic concerns, particularly when located on the face. Traditional treatments, such as intralesional injections, laser therapy, and surgical excision, have shown limited efficacy and are associated with high recurrence rates.Materials and methods: In a recent case, a 19-year-old male with a keloid on the upper lip did not respond to local injections of triamcinolone acetonide (TAC) or carbon dioxide ablative fractional resurfacing laser therapy.Results: A combined treatment approach involving trepanation and superficial radiotherapy successfully flattened the keloid tissue, with no recurrence observed during a 3-year follow-up period.Conclusions: This case underscores the potential efficiency and safety of combined therapeutic interventions and contributes valuable evidence towards the development of novel treatment strategies for keloids.https://www.tandfonline.com/doi/10.1080/09546634.2025.2451394Keloidtrepanationradiotherapyupper lip
spellingShingle Xianghui Li
Yong Wei
Zhuren Ruan
Gao Wei
Zhijian Yao
Successful treatment of a keloid on the upper lip by trepanation and radiotherapy: a case report
Journal of Dermatological Treatment
Keloid
trepanation
radiotherapy
upper lip
title Successful treatment of a keloid on the upper lip by trepanation and radiotherapy: a case report
title_full Successful treatment of a keloid on the upper lip by trepanation and radiotherapy: a case report
title_fullStr Successful treatment of a keloid on the upper lip by trepanation and radiotherapy: a case report
title_full_unstemmed Successful treatment of a keloid on the upper lip by trepanation and radiotherapy: a case report
title_short Successful treatment of a keloid on the upper lip by trepanation and radiotherapy: a case report
title_sort successful treatment of a keloid on the upper lip by trepanation and radiotherapy a case report
topic Keloid
trepanation
radiotherapy
upper lip
url https://www.tandfonline.com/doi/10.1080/09546634.2025.2451394
work_keys_str_mv AT xianghuili successfultreatmentofakeloidontheupperlipbytrepanationandradiotherapyacasereport
AT yongwei successfultreatmentofakeloidontheupperlipbytrepanationandradiotherapyacasereport
AT zhurenruan successfultreatmentofakeloidontheupperlipbytrepanationandradiotherapyacasereport
AT gaowei successfultreatmentofakeloidontheupperlipbytrepanationandradiotherapyacasereport
AT zhijianyao successfultreatmentofakeloidontheupperlipbytrepanationandradiotherapyacasereport