The following statement about this condition is true:
The given condition is keloid. Keloid- Has Excessive scar tissue- Scar extends beyond the boundaries of original wound or incision - Etiology - Unknown- Associated with* Elevated levels of growth factors* Deeply pigmented skin* Genetic predisposition* Areas of body where there is increased risk of keloid formation- Above clavicle- Upper extremities- Trunk & Face- Especially seen in the Triangular region with boundaries of Each shouldertip and Xiphisternum - On Histology* Excess collagen & Hypervascularity* Contains disorganized Type I & III collagen* Contains thicker collagen bundles - causes formation of acellular node like structures* Rarely regresses with time* Often refractory to Medical & Surgical intervention - Treatment* First line treatment - Silicones + Pressure therapy + Intralesional injection of triamcinolone * In Refractory Cases (No improvement after 12 months of treatment) - Excision + Post-operative Radiotherapy (External beam radiotherapy / Brachytherapy)
Elevated levels of growth factor is not seen
Extended excision is the treatment of choice
It do not extend beyond the wound
It will have more collagen and vascularity
Plastic Surgery and Skin Lesions