Bowen's disease

From dermoscopedia

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 Authored by: Florentia Dimitriou     ·  Teresa Deinlein     ·  Iris Zalaudek

 Keywords:   bowen · squamous cell carcinoma · in situ
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Description In this chapter we describe the dermoscopyDermoscopy is a non invasive diagnostic method. criteriaThis glossary term has not yet been described. of Squamous cell carcinomaThis glossary term has not yet been described. in situThis glossary term has not yet been described. (BowenThis glossary term has not yet been described.'s Disease)
Author(s) Florentia Dimitriou · Teresa Deinlein · Iris Zalaudek
Owner Iris Zalaudek→ send e-mail
Status released
Status update June 19, 2017
Status by Ralph P. Braun
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Non-pigmentedThis glossary term has not yet been described. Bowen’s disease

Bowen’s disease represents an intraepithelial carcinoma or in situ Squamous cell carcinoma (SCC). The most frequent clinical presentation is an erythematous scaly patch or slightly elevated plaue.

The archetypal dermoscopic pattern of BD is characterized by two types of vascular patterns:

  • Clustered vascular pattern: Focal, clustered, asymmetric distribution of the vesselsThis glossary term has not yet been described.
  • Glomerular (coiled) vessels: Tortuous capillaries, which are larger than dotted vesselstiny pinpoint vessels flat melanocytic lesions inflammatory diseases Bowen disease and are often distributed in clusters mimicking the glomerular apparatus of the kidney

The concurrent presence of hyperkeratosis (surface scale) allows a high diagnostic probability


Pigmented Bowen’s disease

Pigmented Bowen’s disease (pBD) is more frequently described in darker skin phenotypes.

The following dermoscopic criteria are suggested to be a specific clue for the diagnosisThis glossary term has not yet been described. of pBD:

  • Brown or grey dotsThis glossary term has not yet been described.: these dots are a strong clue when arranged as linear radial lines at the periphery of the lesion
  • Pink or skin colored eccentric structureless areas
  • Glomerular (coiled) vessels, arranged randomly, as clusters, or in radial linesstreaks



References

  1. An Atlas of DermoscopyDermoscopy is a non invasive diagnostic method., Second Edition. Marghoob A. et al. CRC Press; 2012.
  2. Bugatti, L., Filosa, G. & De Angelis, R., 2004, Dermoscopic observation of Bowen’s disease. J Eur Acad Dermatol Venereol, 18, 572–4.
  3. Bugatti, L., Filosa, G. & De Angelis, R., 2007, The specific dermoscopical criteria of Bowen’s disease. J Eur Acad Dermatol Venereol, 21, 700–1.
  4. Cameron A., Rosendahl C., Tschandl P., Riedl E., Kittler H., 2010, DermatoscopyThis glossary term has not yet been described. of pigmented Bowen’s disease. J Am Acad Dermatol, 62, 597–604.
  5. Stante, M., De Giorgi, V., Massi, D., Chiarugi, A. & Carli, P., 2004, Pigmented Bowen’s disease mimicking cutaneous melanomaThis glossary term has not yet been described.: clinical and dermoscopic aspects. Dermatol Surg, 30, 541–4.
  6. Zalaudek, I. & Argenziano, G., 2004, Glomerular vesselsThis glossary term has not yet been described. in Bowen’s disease. Br J Dermatol, 151, 720.
  7. Zalaudek, I., Argenziano, G., Leinweber, B., et al., 2004, Dermoscopy of Bowen’s disease. Br J Dermatol, 150, 1112–16.
  8. Zalaudek, I., Di Stefani, A. & Argenziano, G., 2006a, The specific dermoscopic criteria of Bowen’s disease. J Eur Acad Dermatol Venereol, 20, 361–2.