Hypertrophic Scars, Keloids
Conditions
Keywords
hypertrophic scar, keloid, central venous catheter, children, cancer
Brief summary
Most children with cancer need a central venous catheter. These catheters are typically placed on the anterior thorax, where the risk of hypertrophic scarring and keloid development is greatly enhanced. A significant part of the children who have survived childhood cancer are troubled by their scars. Topical glucocorticoid treatment is known to induce a reduction of the collagen in the connective tissue. The investigators hypothesize that treatment with topical glucocorticoids for one week before and three weeks after removal of a central venous catheter, will reduce the formation of hypertrophic scarring and keloid development in children.
Interventions
0.4 cm creme is applied and covered with a plaster (treatment under occlusion). Dosage every second or third day Treatment is started one week before removal of the central venous catheter and continued for four weeks
0.4 cm creme is applied and covered with a plaster (treatment under occlusion). Dosage every second or third day Treatment is started one week before removal of the central venous catheter and continued for four weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* All children and adolescents who have a central venous catheter removed at the Childrens Department of Oncology at Aarhus University Hospital Skejby in the period from March 2010 to July 2011
Exclusion criteria
* Known allergy towards plaster or fusidic acid
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| scars measured by the Vancouver Scar Scale twelve months after central venous catheter removal | Twelve months |
Secondary
| Measure | Time frame |
|---|---|
| Judgement of the scar by Patient and observer scar scale after six months | six months |
| Judgement of the scar by Patient and observer scar scale after twelve months | twelve months |
| scars measured by the Vancouver Scar Scale six months after central venous catheter removal | six months |
Countries
Denmark