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Pigmented Bowen's disease

P P Papageorgiou1, A A Koumarianou, A C Chu

  • 1Department of Dermatology, Hammersmith Hospital, London, U.K.

The British Journal of Dermatology
|May 15, 1998
PubMed
Summary
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This study reports two cases of pigmented Bowen's disease, a form of skin cancer, in Afro-Caribbean women. Both patients achieved complete resolution after treatment with 5-fluorouracil and cryotherapy.

Area of Science:

  • Dermatology
  • Oncology
  • Dermato-histopathology

Background:

  • Bowen's disease, an early form of squamous cell carcinoma in situ, can present with varied clinical features.
  • Pigmented variants of Bowen's disease are less common and may pose diagnostic challenges.
  • Understanding the presentation in diverse populations is crucial for early detection.

Observation:

  • Two Afro-Caribbean women, aged 44 and 25, presented with distinct pigmented skin lesions.
  • The lesions were located in the perianal area and the umbilicus, respectively.
  • Clinical descriptions included sharply demarcated, irregularly marginated, hyperpigmented plaques and well-defined, verrucous, hyperpigmented patches.

Findings:

  • Histopathological examination confirmed both cases as Bowen's disease.

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  • The pigmented nature of the lesions was a notable clinical characteristic.
  • Successful treatment outcomes were achieved in both patients.

    • Implications:

    • This case series highlights the importance of considering pigmented Bowen's disease in patients with atypical skin lesions, particularly in diverse ethnic groups.
    • Prompt diagnosis and appropriate treatment, such as 5-fluorouracil and cryotherapy, can lead to complete resolution.
    • Further research into the specific presentation and management of pigmented Bowen's disease across different skin types is warranted.