Keloids represent one of the most stubborn fibroproliferative disorders in dermatology, often resistant to standard therapies. Dr. Shinta Fitri Boesoirie documented a rare case of giant auricular keloids successfully managed through a combination of surgical excision and postoperative radiotherapy.

The patient, a young adult, presented with large, disfiguring keloids on both ears that interfered with daily activities and self-esteem. Simple excision was deemed insufficient due to the high risk of recurrence. Instead, the surgical removal was immediately followed by adjuvant radiotherapy, targeting residual fibroblast activity.

Histopathological examination confirmed dense collagen deposition typical of keloids, while the radiotherapy protocol effectively minimized fibroblast proliferation. Follow-up showed excellent cosmetic results, with no significant recurrence after months of observation.

The authors stress that the management of giant keloids requires a multidisciplinary strategy, balancing functional and cosmetic concerns. By combining surgery with radiotherapy, recurrence rates—often exceeding 50% with excision alone—can be markedly reduced.

This case adds valuable evidence supporting multimodal therapy in dermatologic surgery. For patients with large, recurrent, or refractory keloids, integrating radiotherapy into postoperative care may provide the best chance for durable remission.

The work advances SDG 3: Good Health and Well-Being by improving treatment options for patients with disfiguring conditions and SDG 10: Reduced Inequalities by showing how advanced care can be applied even in resource-limited settings. Through this, Universitas Padjadjaran reinforces its role as a driver of medical progress and contributor to the THE Impact Rankings.