Intraepithelial carcinoma (Bowen disease)
☆ ଜର୍ମାନୀରୁ 2022 ଷ୍ଟିଫ୍ଟଙ୍ଗ ୱାରେଣ୍ଟେଷ୍ଟ ଫଳାଫଳଗୁଡିକରେ, ମଡେଲଡର୍ମ ସହିତ ଗ୍ରାହକଙ୍କ ସନ୍ତୁଷ୍ଟି ପେଡ୍ ଟେଲି ମେଡିସିନ୍ ପରାମର୍ଶ ତୁଳନାରେ ସାମାନ୍ୟ କମ୍ ଥିଲା |
ସାଧାରଣ ମାମଲା - Intraepithelial carcinoma (Bowen disease) ଏକ ଦୀର୍ଘସ୍ଥାୟୀ, ଇଞ୍ଚି ନଥିବା ଏକଜେମା ଭାବରେ ଭୁଲ ଭାବରେ ଚିହ୍ନଟ ହୋଇପାରେ |
References
Bowen's disease (BD) ହେଉଛି ଏକ ପ୍ରକାର ଚର୍ମ କର୍କଟ ଯାହା ଚର୍ମର ବାହ୍ୟ ସ୍ତରରେ ଆରମ୍ଭ ହୁଏ (ଏପିଡର୍ମିସ୍) | ଏହା କାଉକଜିଆନ୍ସରେ ଅଧିକ ଦେଖାଯାଏ ଏବଂ ପ୍ରାୟତ sun ସୂର୍ଯ୍ୟ କିରଣର ସଂସ୍ପର୍ଶରେ ଆସିଥାଏ, କିନ୍ତୁ ଏହା ଅନ୍ୟ ସ୍ଥାନରେ ମଧ୍ୟ ଦେଖାଯାଏ | ବିଡି ସାଧାରଣତ a ଏକକ କ୍ଷତ ଭାବରେ ଦେଖାଯାଏ | ଅଧିକ ଗମ୍ଭୀର ପ୍ରକାରର ଚର୍ମ କର୍କଟ ବିକଶିତ ହେବା ପୂର୍ବରୁ ବିଡି ଏକ ଚେତାବନୀ ସଙ୍କେତ ଭାବରେ ଦେଖାଯାଏ | ବିଡି ନିରାକରଣ ପାଇଁ ଡାକ୍ତରମାନେ ସାଧାରଣତ a ମାଇକ୍ରୋସ୍କୋପ୍ (ବାୟୋପସି) ଅନ୍ତର୍ଗତ ଟିସୁ ନମୁନା ପରୀକ୍ଷା ଉପରେ ନିର୍ଭର କରନ୍ତି।
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 (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 ପ୍ରାୟତ 60 60 ରୁ ଅଧିକ ବୟସର ଧଳା ବ୍ୟକ୍ତିବିଶେଷଙ୍କୁ ପ୍ରଭାବିତ କରିଥାଏ। HPV ଷ୍ଟ୍ରେନ୍ 16, 18, 34, ଏବଂ 48 ଯ ital ନାଙ୍ଗରେ ବୋଡେନ ରୋଗ ସହିତ ଜଡିତ | ଅଣ-ଯ ital ନାଙ୍ଗରେ HPV ର ଜଡିତତା କମ୍ ସ୍ପଷ୍ଟ ଅଟେ |
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.
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.
ଏହା ସାଧାରଣତ the ଶରୀରର ଯେକ anywhere ଣସି ସ୍ଥାନରେ ଏକ ଏରିଥେମାଟସ୍, ସ୍କାଲି କିମ୍ବା କଞ୍ଚା ଅଞ୍ଚଳ ଭାବରେ ଦେଖାଯାଏ | ସବୁଠାରୁ ସାଧାରଣ ଅବସ୍ଥାନ ହେଉଛି ନିମ୍ନ ଗୋଡ |
ଏହା ବିଭିନ୍ନ ଚିକିତ୍ସା ବିକଳ୍ପ ଦ୍ୱାରା କ୍ରିଏଥେରାପି, କ୍ୟୁରେଟେଜ୍, ସାବଧାନତା, ଫୋଟୋଡାଇନାମିକ୍ ଥେରାପି କିମ୍ବା କ୍ଷତର ଏକ୍ସାଇଜନ୍ ଦ୍ୱାରା ଆରୋଗ୍ୟ ଯୋଗ୍ୟ |
○ ନିରାକରଣ ଏବଂ ଚିକିତ୍ସା
#Dermoscopy
#Skin biopsy
#Mohs surgery
#Photodynamic therapy