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Image Number 815 (Bowen's disease)

 
Morphology:
Red,scaly

Diagnosis: Bowen's disease

Site: Finger

Sex: M

Age: 58

Type: Clinical

Description: Scaly patches

Submitted by: Ted Rosen

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Differential Diagnosis

History: Long history working as a radiation technician handling radio-isotopes for diagnostic and therapeutic purposes. Developed multiple scaling patches on his dominant hand, the worst of which is shown (dorsum, 3rd digit). Multiple biosies all demonstrate in-situ squamous cell carcinoma (Bowen's Disease). He is being treated with intensive topical immunomodulation (imiquimod).

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