Management Outcome of Multi-sites Keloids of Multiple Aetiologies in a Young Female Nigerian: A Case Report

Background: Keloids are exaggerated cutaneous scars with a preponderance of fibrous tissue that may complicate wound healing in people that are predisposed to its development. Its management could be challenging with very high probability of recurrence following surgical excision alone. A case of multiple keloids involving both breasts and anterior chest wall of different aetiologies in a young adult female Nigerian without family history of keloid is being reported. She had extralesional excisions of the keloids with immediate external beam radiotherapy followed by serial triamcinolone acetonide injections of the surgical sites. Conclusion: The triple therapy of surgical excision, post-excision radiation and corticosteroid injection offers an excellent outcome in terms of recurrence.