This patient presented with multiple massive keloids across her back.
While the pathways that cause these growths to appear are not well understood, it is known that this process represents an exaggerated response to tissue injury. A common challenge with keloids is their removal - surgical excision is associated with up to 100% recurrence.
However, there are some treatments that can reduce their reappearance. Keloid size and symptoms can be reduced without recurrence with intralesional steroids or chemotherapy. Recent evidence suggests that postoperative radiation can be effective as well.
See more cases like this on Figure 1.