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Image Number 4875 (Bowen's disease)


Diagnosis: Bowen's disease

Site: Leg

Sex: F

Age: 67


Description: Solitary, red, scaly plaque

Submitted by: Ted Rosen

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Differential Diagnosis


 This asymptomatic lesion was found on routine total body skin examination in a patient with a history of actinic keratoses, basal cell carcinoma and invasive squamous cell carcinoma. Biopsy verified diagnosis of Bowen's disease (squamous cell carcinoma in-situ). Was treated by (off-lable) three applications of ingenol mebutate 0,015%. No recurrence so far in 18 months.

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