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Bowen's disease on the palm: A case report
Shi-Rong Yu1, Jing-Zhan Zhang1, Xiong-Ming Pu1
1Department of Dermatology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, Xinjiang Uygur Autonomous Region, China.
Bowen's disease (BD), a type of intraepidermal carcinoma, rarely affects the palm. Early dermoscopy and biopsy are crucial for diagnosing atypical palmar lesions to prevent misdiagnosis.
Area of Science:
- Dermatology
- Oncology
Background:
- Bowen's disease (BD) is a persistent, progressive intraepidermal carcinoma.
- Typically affecting sun-exposed areas, BD rarely involves the palmar aspect of the hand, with few reported cases.
- Palmar involvement presents diagnostic challenges due to its rarity.
Observation:
- A 48-year-old male presented with a 2-year history of persistent palmar erythema on the thenar eminence.
- Initial misdiagnosis as hand eczema and lack of response to conventional treatments prompted further investigation.
Findings:
- Dermoscopy and histopathology confirmed Bowen's disease of the palm.
- The patient underwent surgical resection and photodynamic therapy with no recurrence at 6 months.
Implications:
- Highlights the importance of considering rare diagnoses for atypical palmar lesions.
- Emphasizes the utility of dermoscopy and biopsy for accurate diagnosis and timely management of palmar skin conditions.
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