Efficacy of Intralesional 5-Fluorouracil and Triamcinolone in the Treatment of Keloids

Steven P. Davison, Joseph H. Dayan, Mark W. Clemens, Smitha Sonni, Antai Wang, Amy Crane

Research output: Contribution to journalArticlepeer-review

98 Scopus citations


Background: Keloids are a common problem with significant recurrence rates despite intralesional steroid treatment and multimodal therapy. Objective: The purpose of this study was to evaluate the efficacy of using a 5-fluorouracil (5-FU)/steroid mixture to treat keloids over the past 7 years, comparing the results with use of steroid treatment alone. Methods: Patient charts from 1999 to 2006 were reviewed. Patients were stratified into 3 groups: (1) 5-FU/steroid without excision; (2) 5-FU/steroid with excision; and (3) steroid treatment with excision. The percentage of lesion size reduction and symptoms were evaluated. Results: A total of 102 keloids were identified in a retrospective review. Patients who underwent the 5-FU/steroid combination with excision had a 92% average reduction in lesion size compared with 73% in the group of patients who did not receive 5-FU. Patients who received 5-FU/steroid without excision had an average lesion size reduction of 81%. Differences in complication rates were not statistically significant. Conclusions: Combination 5-FU/triamcinolone is superior to intralesional steroid therapy in the treatment of keloids.

Original languageEnglish (US)
Pages (from-to)40-46
Number of pages7
JournalAesthetic Surgery Journal
Issue number1
StatePublished - Jan 2009
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery


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