Bowen's Disease

Question 1

What is it

Answer 1

precancerous dermatosis that is a precursor to squamous cell carcinoma. It is more common in elderly patients.

Question 2

What are the features

Answer 2

red, scaly patches
often 10-15 mm in size
slow-growing
often occur on sun-exposed areas such as the head (e.g. temples) and neck, lower limbs

Question 3

What is the management

Answer 3

topical 5-fluorouracil
typically used twice daily for 4 weeks
often results in significant inflammation/erythema. Topical steroids are often given to control this
cryotherapy
excision