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.
Bowen's disease (BD) wuhlobo lomdlavuza wesikhumba oluqala olwelwesini olungaphandle lwesikhumba (epidermis) . Kuvame kakhulu eCaucasus futhi kuvame ukuvela ezindaweni ezichayeke elangeni, kodwa kungavela nakwezinye izindawo. I-BD ngokuvamile ibonakala njengesilonda esisodwa. I-BD ivame ukubonwa njengophawu oluyisixwayiso ngaphambi kokuba kuvele uhlobo olubi kakhulu lomdlavuza wesikhumba. Ukuze uhlole i-BD, odokotela ngokuvamile bathembela ekuhloleni amasampula ezicubu ngaphansi kwesibonakhulu (i-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 ihlasela kakhulu abantu abamhlophe abaneminyaka engaphezu kuka-60. Izinto eziyingozi eziyinhloko zihlanganisa ukuchayeka elangeni isikhathi eside, amasosha omzimba abuthakathaka, ukuchayeka kwe-arsenic, kanye nokutheleleka nge-HPV yesikhumba. Izinhlobo ze-HPV ezingu-16, 18, 34, no-48 zixhunyaniswa nesifo sika-Bowen ezindaweni zangasese. Ukubandakanyeka kwe-HPV ezimweni ezingezona ezobulili akucaci kahle. 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.
Ivamise ukuvela njengendawo ebomvu tebhu, enezikhwepha noma ewuqweqwe noma kuphi emzimbeni. Indawo evame kakhulu imilenze ephansi.
Kwelapheka ngezinketho zokwelapha ezahlukahlukene ezifana ne-cryotherapy, i-curettage, i-cautery, i-photodynamic therapy, noma ukusika isilonda.
○ Ukuxilongwa Nokwelashwa
#Dermoscopy
#Skin biopsy
#Mohs surgery
#Photodynamic therapy