Intralesional Cryosurgery Alone Versus Combined With 5-FU and Triamcinolone for Keloids

Inclusion Criteria: * Adult patients (≥18 years) with clinically diagnosed keloids . * Keloids of size 1-10 cm in greatest dimension . * Keloids of at least one year duration Exclusion Criteria: * Females who are pregnant, planning pregnancy, or lactating . * Hypertrophic scars . * Chronic kidney or liver disease (relevant for 5-FU safety) . * Patients with active inflammation, infection, or ulcer at or around the keloid or Lesions suspicious for malignancy . * Patients who received any treatment for the same keloid in the past 12 months . * Immunosuppressed patients or those with chronic inflammatory diseases .