For Marcus, a treatment discussion about a keloid leads to an important question: should radiation be part of the plan? In this Bumpinator chapter, Dr. Sanusi Umar explains why he intends to remove the keloid without using radiation, even though radiation may be considered in some cases involving acne keloidalis nuchae.
A Plan to Remove the Keloid
Dr. Umar begins by explaining the immediate plan to Marcus: “Obviously we have to remove the keloid.” He says they have already gone through the possibilities, including whether radiation would be appropriate.
The discussion is not about dismissing radiation in every circumstance. Dr. Umar acknowledges that it is sometimes considered in situations like this one. The question is whether its risks are justified for this particular patient.
Why Radiation Exposure Matters
Dr. Umar describes Marcus as a relatively young man and says the risks associated with radiation are not warranted in this case, especially because other options remain available. He identifies the potential lifetime risk of cancer or tumors as a central concern when considering radiation exposure.
His explanation keeps the focus on the balance between possible treatment approaches and the risks a patient may carry long after treatment. In this chapter, he does not specify the alternative measures beyond the planned keloid removal.
A Decision Made With Marcus
The conversation also makes clear that Marcus has a role in the decision. Dr. Umar says he has discussed the radiation risks with Marcus and that Marcus is not eager to accept that exposure. Dr. Umar concludes that they will not proceed with radiation.
This is a specific decision for Marcus, not a blanket recommendation for every person with a keloid. The chapter ends with the treatment direction established, while leaving the details and results of the next steps for later.
Watch the Chapter
Hear Dr. Umar explain the decision and the risks he discussed with Marcus.
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Medical Disclaimer
This article describes one patient’s treatment discussion for educational purposes only. Individual circumstances and treatment decisions vary. Consult a qualified medical professional for personalized advice.
Further Reading
- https://dru.com/marcus-keloid-specialist-dr-u/
- Umar, S., & Sila, C. R. (2021). Acne keloidalis nuchae: A role for low-dose radiotherapy. JAAD Case Reports, 13, 90–93. https://doi.org/10.1016/j.jdcr.2021.05.008
