Bilateral gigantic earlobe keloids

A 90-year-old woman of African descent was admitted to our department. Stiff, painless, multilobulated, earlobe masses were noted bilaterally (Fig 1). The lesions appeared after ear piercing during childhood and progressed further after a surgical resection attempt 20 years ago. Biopsy wasn't attempted due to risk of progression. The clinical diagnosis of keloids was established and the patient was offered a dermatology follow-up.

Fig 1.

(a) Right and (b) left earlobes.