<prompt> The following statement about this condition is true:Elevated levels of growth factor is not seenExtended excision is the treatment of choiceIt do not extend beyond the woundIt will have more collagen and vascularity  <response>: The given condition is keloid. Keloid- Has Excessive scar tissue- Scar extends beyond the boundaries of original wound or incision - Etiology - Unknown- Associated with Elevated levels of growth factors Deeply pigmented skin Genetic predisposition Areas of body where there is increased risk of keloid formation- Above clavicle- Upper extremities- Trunk Face- Especially seen in the Triangular region with boundaries of Each shouldertip and Xiphisternum - On Histology Excess collagen Hypervascularity Contains disorganized Type I III collagen Contains thicker collagen bundles - causes formation of acellular node like structures Rarely regresses with time Often refractory to Medical Surgical intervention - Treatment First line treatment - Silicones Pressure therapy Intralesional injection of triamcinolone In Refractory Cases No improvement after 12 months of treatment - Excision Post-operative Radiotherapy External beam radiotherapy Brachytherapy 