This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Wounds, Tissue Repair & Scars, Subject name: Surgery
First line treatment for keloid is: 
Select and explain. 
A. Intra lesional injection of keloid, B. Local steroid, C. Radiotherapy, D. Wide excision
A: Intra lesional injection of keloid
Answer: A: Intra lesional injection of keloid 
Explanation: Ans. (a) Intralesional injection of keloid(Ref: Bailey 26/e p30)Treatment of keloids and Hypertrophic scars:* Intra lesional Triamcinolone acetate* Local pressure* Intra lesional excision done only for keloids.* Laser to reduce redness.* Vitamin E or Palm Massage oil.* Silicone gel sheeting* Excision and Steroid Injection.