E whakaatu ana te Mate Pukupuku Intraepithelial (Mate Bowen) (Intraepithelial carcinoma (Bowen disease)) ka tipu haere nga pūtau squamous atypical puta noa i te matotoru katoa o te epidermis. Ko te puku katoa ka herea ki te epidermis, karekau e uru ki roto i te kiri. Ko tenei mate ka tohua he mate pukupuku, engari kaore i te whakaeke i nga mate pukupuku noa. (arā, he mate pukupuku he pai te tohu.)
I te nuinga o te wa ka puta he waahi erythematous, kirikiri, kirikiri ranei i nga waahi katoa o te tinana. Ko te waahi nui ko nga waewae o raro.
Ka taea te rongoa e nga momo maimoatanga penei i te cryotherapy, curettage, cautery, photodynamic therapy, te tangohanga ranei o te whiu.
Squamous-cell skin cancer is one of the main types of skin cancer along with basal cell cancer, and melanoma. It usually presents as a hard lump with a scaly top but can also form an ulcer. Onset is often over months. Squamous-cell skin cancer is more likely to spread to distant areas than basal cell cancer. When confined to the outermost layer of the skin, a precancerous or in situ form of cSCC is known as Bowen's disease.
☆ I te 2022 Stiftung Warentest hua mai i Tiamana, he iti noa iho te pai o nga kaihoko ki a ModelDerm i nga korero mo te waea rongoa utu.
Take angamaheni ― Mate Pukupuku Intraepithelial (Mate Bowen) (Intraepithelial carcinoma (Bowen disease)) tera pea ka pohehehia he kirikiri karekau he mamae.
Cutaneous horn ― Kaore i rite ki nga kiritona, ka puta mai he nodule pakeke, me te biopsy hei aukati i te mate kino.
Ki te mau tonu te patunga mo te wa roa, me whakaaro te mate pukupuku kiri.
Ko te Bowen's disease (BD) he momo mate pukupuku kiri ka timata i te paparanga o waho o te kiri (epidermis) . He nui ake i nga Caucasians, he maha nga wa ka puta ki nga waahi e marama ana te ra, engari ka puta ano ki etahi atu waahi. I te nuinga o te wa ka puta te BD hei whiu kotahi. Ka kitea te BD hei tohu whakatupato i mua i te whakawhanaketanga o te momo mate pukupuku kiri. Hei whakatau i te mate BD, ko te tikanga ka whakawhirinaki nga taakuta ki te tirotiro i nga tauira kiko i raro i te karu (biopsy) . Bowen's disease (BD) is an in-situ squamous cell carcinoma of epidermis. The etiology of BD is multifactorial with high incidence among Caucasians. BD is common in photo-exposed areas of skin, but other sites can also be involved. Lesions are usually solitary. The morphology of BD differs based on age of the lesion, site of origin, and the degree of keratinization. BD is considered as the lull before the storm, which precedes an overt squamous cell carcinoma. Histopathology is the gold standard diagnostic modality to confirm the diagnosis.
Bowen's disease te nuinga ka pa ki nga tangata maa kua neke ake i te 60. Ko nga mea nui morearea ko te whakamaaramatanga o te ra mo te wa roa, te ngoikore o te punaha mate, te rongo arsenic, me te mate HPV kiri. Ko nga riu HPV 16, 18, 34, me te 48 e hono ana ki te mate a Bowen i nga waahi taihemahema. Ko te whai waahi o te HPV i roto i nga keehi kore ira he iti ake te maarama. Bowen disease is most commonly found in white patients over 60 years old. Other risk factors include chronic sun exposure, immunosuppression, arsenic exposure and cutaneous human papillomavirus (HPV) infection. HPV types 16, 18, 34 and 48 cause Bowen disease at genital sites; the role of HPV in nongenital cases of Bowen disease is less well defined. HPV types 2, 16, 34 and 35 have been rarely identified within nongenital lesions.
I te nuinga o te wa ka puta he waahi erythematous, kirikiri, kirikiri ranei i nga waahi katoa o te tinana. Ko te waahi nui ko nga waewae o raro.
Ka taea te rongoa e nga momo maimoatanga penei i te cryotherapy, curettage, cautery, photodynamic therapy, te tangohanga ranei o te whiu.
○ Taatari me te Maimoatanga
#Dermoscopy
#Skin biopsy
#Mohs surgery
#Photodynamic therapy