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[Bowenoid papulosis. Review of 4 cases in a health center]
J A Manzano de Arostegui1, J Borbujo Martínez, A A Juez Juez
1Centro de Salud V Centenario, San Sebastián de los Reyes, Madrid.
Objective:
To check the clinical, histological, evolutionary and therapeutic characteristics of Bowen's Disease.
Design:
A descriptive study of a crossover type.
Setting:
Primary Care and a Dermatology clinic at a Health Centre.
Patients:
There were 4 adult males, aged between 25 and 31, with pigmented papulosis lesions on their external genitals. Two of them were HIV-positive.
Measurements And Main Results:
Clinical records were used. The diagnosis was confirmed through histological analysis. In all cases the lesions were papulosis, multiple and affecting the external genitals. The patients were clinically controlled until the lesions disappeared. The patients' sexual partners were referred to Gynaecology clinics for examination, but no pathology was found in any of them.
Conclusions:
Basic knowledge of Bowen's Disease in Primary Care is important given that it is essential to reach a diagnosis as early as possible, in order to monitor the patient and his partner and so avoid any future complications arising from the pathology's presence, such as tumour processes affecting the uterine cervix. The performance of histological analyses when faced with any suspicious genital lesion must be encouraged, given that this technique is non-aggressive.