Which treatment option is listed as a possible way to manage keloids?

• A. Cryotherapy is not used to treat keloids.
• B. Antifungal creams are the standard treatment.
• C. Surgical removal followed by X-ray treatment or steroid injection is listed as a treatment option.
• D. Hot oil therapy is recommended.

Answer: (C)

When managing keloids, the goal is to reduce the abnormal scar tissue and prevent it from coming back after treatment. Removing a keloid by itself often leads to recurrence because the underlying wound-healing process remains active. The most effective option listed is to surgically remove the keloid and then use postoperative therapy to modulate healing—either radiotherapy (X-ray treatment) or intralesional steroid injections. Post-surgical radiotherapy helps by inhibiting fibroblast activity and collagen production soon after excision, which lowers the chance of regrowth. Intralesional corticosteroids directly suppress scar tissue formation and can flatten and soften the lesion, also decreasing recurrence risk.

Other choices don’t align with standard approaches for preventing keloid recurrence. Antifungal creams treat fungal infections, not scar overgrowth. Hot oil therapy has no evidence of benefit for keloids and can irritate the skin. Cryotherapy is used only selectively and is not the primary, widely accepted treatment option listed here.