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Image Number 4892 (Bowen's disease)

 
Morphology:
Patch

Diagnosis: Bowen's disease

Site: Chest

Sex: M

Age: 68

Type:

Description: Scaly patch

Submitted by: Ted Rosen

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Differential Diagnosis

History:

 Insidious onset of asymptomatic 1.5cm patch on upper, anterior chest. Patient is retired but favors gardening, which has done for decades without a shirt. Biopsy showed classic squamous cell carcinoma, in-situ (Bowens Disease). Patient treated off-label with topical imiquimod 3.75%, five days weekly, for 12 weeks. Brisk crusting, and eventually almost nothing. Excellent response, but will require close followup. 



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