29/05/2021
Bowen’s disease is an early form of . It affects the outermost layer of the skin, the . Also called squamous cell carcinoma in situ, this condition generally presents as a red, scaly patch that emerges in areas that are frequently exposed to the sun🌞. These lesions can itch, crust or ooze; they grow slowly, but may develop into a more serious type of skin cancer if left untreated😱.
These red or pink patches can be scaly or crusty, flat or raised and measure a few centimeters in diameter; in some cases they may be tender, verrucous, fissured and may even bleed. Most of the time, only one is present, but in about 10-20% of people with this condition, multiple lesions may develop in more than one area of the body😲.
Chronic sun exposure and aging🧓🏼 are the most common risk factors of . Typically, lesions emerge in areas that are commonly hit by the sun’s rays☀️; in some cases, though, they can appear in other parts of the body😥. Most commonly, lesions develop on the lower legs🦵🏾, but in rare cases they can also appear on the head, neck, palms, soles and ge****ls. Furthermore, certain strains of the human papilloma virus ( ) are linked to Bowen’s disease: HPV 16, 18, 34 and 48 have been shown to cause the emergence of lesions in the ge****ls, while HPV 2, 16, 34 and 35 are linked to causing lesions in other areas🤯.
Bowen’s disease is not a serious condition in and of itself. Because of how slow it grows (typically months to years🗓), it can be detected early and treated effectively🙌🏻. The main concern with it is the fact that if left untreated, it may turn into squamous cell carcinoma; this happens in about 1 in every 20 people with untreated Bowen’s disease😨. A doctor can identify this condition based on a detailed patient history, the characteristics of the lesion and a thorough clinical evaluation. Bowen’s disease may be mistaken for other skin conditions like or . A diagnosis can be confirmed with a biopsy of the affected tissue🔬. Treatment depends on various factors, but the most common solutions for this condition include topical chemotherapy, cryotherapy, curettage, photodynamic therapy and surgical excision👩🏽⚕️.
Prevention of Bowen’s disease comes by safe sun practices. Seek shade and minimize outdoor activities between 10 AM and 4 PM⌚️. Avoid the use of tanning beds🙅🏼, use protective clothing, wide-brimmed hats and sunscreen with SPF 30 or higher👍🏾.