The first symptom of Bowen’s disease is a red looking patch with an uneven boundary. The patch may appear on an area of the skin, especially the sun exposed area. Few of the other symptoms include:
- Bleeding lump.
Intraepidermal squamous cell carcinoma or Bowen’s disease is named after the American dermatologist John. T. Bowen. Bowen’s disease is a skin disease that marks the early onset of skin cancer. The main symptom of Bowen’s disease is a red, scaly patch.The disease affects the squamous cells in the outermost skin layer. It starts as a slow growing small patch on sun-exposed area like hands, neck, face, etc. The formation of a boil or bump on the affected area indicates formation of aggressive squamous cell cancer. If left untreated, it can spread further, affecting a larger area. The patch grows at a very slow rate and may bleed at times. It may be mistaken with a ringworm or psoriasis disease. Patches in this disease can be a few millimeters in diameter, but can grow to centimeters.
The disease can be suspected by appearance of patch on the skin. To rule out the occurrence, a small sample of skin for biopsy purpose is taken. The sample is examined closely under the microscope ...
The disease can be suspected by appearance of patch on the skin. To rule out the occurrence, a small sample of skin for biopsy purpose is taken. The sample is examined closely under the microscope for the presence of squamous cells.
At Medanta, depending upon the severity and affected area, a dermatologist can recommend any one of the available options for treating Bowen’s disease. The highest recommended treatments are:..
At Medanta, depending upon the severity and affected area, a dermatologist can recommend any one of the available options for treating Bowen’s disease. The highest recommended treatments are:
The affected area is freezed with the help of nitrogen spray. Though the procedure is painful, yet effective as the skin scabs and falls off by itself after a few days.
The Imiquimod ointment like 5-fluorouracil is applied onto the affected area for a due course of time. The ointment causes the skin to inflammate and become red. Gradually, the area becomes better with time.
Under the effect of local anesthesia, the affected skin is numbed and scraped or removed. Heat or electricity is used to stop bleeding and left to heal over time. Antibiotics are prescribed to keep away infections.
With the help of laser, cells of the affected area are burnt or killed. The procedure is completed with the help of a light-sensitive cream. The entire course lasts for about 20-45 minutes, and the number of sittings may vary depending on the requirement.
This forms the last option of treatment in any case. It involves removing the affected skin under local anesthesia effect, and then stitching to seal the wound.
Persistent appearance of red, scaly patch on the exposed area, which seems to be increasing and no definite cause is known, marks the importance of a doctor’s advice. A dermatologist is the best person to seek guidance from.
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