Patient: keloid; one was nine years ago and the protrusion has been flattened and one was five years ago and has been hyperplastic. The one from nine years ago was operated on, but the doctor misdiagnosed it at that time and thought it was just a lipoma and cut it, but the cut area has since bulged and the growth has slowed down in the last two years. How is it treated? What is the prognosis?
Hospital Dermatology: It is unrealistic to cure keloids completely. However, it is possible to achieve softening and flattening, and to achieve relief from itching. The effect of oral medication is not very certain and needs to be taken for a long time, requiring perseverance and regular check of liver and kidney functions. Topical medications: Chinese medicine, black vinegar cream from Kuanjie TCM Hospital; western medicine, Xilioctol, Conrad, hormones, etc. can be used. Current radiotherapy can also be used, generally by removing the scar first and then radiotherapy. The method of surgery alone is not advisable. The actual skin is usually not stimulated, such as scratching, rubbing, etc.