Massive Desmoid with Keloid of the Anterior Neck

It is a case report of a massive recurrent desmoid and overlying keloid that simultaneously occurred inthe anterior neck. A 21-year woman presented with a 4-year history of a recurrent desmoid with a keloidof the skin in the anterior neck. The desmoid and overlying keloid were excised en-bloc with episternotomy.The defect was covered with the rotated pectoralis major muscle flap, and then resected episternum wasreturned after inactivation by liquid nitrogen. Skin defect of the anterior neck was covered with the free radialforearm flap. Although there is no evidence of recurrence of the desmoid a year later, recurrence of thekeloids is remarkable. As to our knowledge, it is rare that desmoids and keloids occur simultaneously. Itmight be an opportunity to explain a strange character of desmoids based on clinical nature of keloids.