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Bowen's Disease in Dermoscopy.

Anna Maria Wozniak-Rito, Lidia Rudnicka1

  • 1Professor Lidia Rudnicka, MD, PhD, Department of Dermatology, Medical University of Warsaw, Koszykowa 82a Str., 02-008 Warsaw, Poland; lidiarudnicka@gmail.com.

Acta Dermatovenerologica Croatica : ADC
|July 11, 2018
PubMed
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Bowen's disease, or squamous cell carcinoma in situ, is a pre-cancerous skin condition. Dermoscopy aids in its identification, but histopathology is crucial for accurate diagnosis to prevent misdiagnosis and ensure proper treatment.

Area of Science:

  • Dermatology
  • Oncology

Background:

  • Bowen's disease, also known as squamous cell carcinoma in situ, is a non-melanocytic intraepidermal malignancy.
  • It carries a 3-5% risk of transforming into invasive squamous cell cancer.

Purpose of the Study:

  • To highlight the role of dermoscopy in identifying Bowen's disease.
  • To discuss the diagnostic challenges and the importance of histopathological confirmation.

Main Methods:

  • Dermoscopic examination of skin lesions.
  • Review of typical and atypical dermoscopic features of Bowen's disease.
  • Emphasis on differential diagnosis with other skin lesions.

Main Results:

  • Glomerular vessels and scaly surface are characteristic dermoscopic features of Bowen's disease.

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  • Similar dermoscopic structures can be observed in other skin lesions, posing diagnostic dilemmas.

    • Conclusions:

    • Dermoscopy is a valuable tool for the initial identification of Bowen's disease.
    • Histopathological confirmation is essential to avoid misdiagnosis and guide appropriate treatment for suspected Bowen's disease.