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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(S 01): S152-S153
DOI: 10.4103/ijmpo.ijmpo_223_17
Case Report

A Rare Disease of the Breast: Bowen’s Disease

Nabal Kumar Mishra
Department of Surgery, ESI PGIMSR, New Delhi, India
,
Atul Jain
Department of Surgery, ESI PGIMSR, New Delhi, India
,
Gaurav Patel
Department of Surgery, ESI PGIMSR, New Delhi, India
,
Sajid Makbul Nurbhai
Department of Surgery, ESI PGIMSR, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Bowen’s disease is also known as squamous cell carcinoma in situ and it occurs predominantly in older patients. Etiological factors for Bowen’s disease include ultraviolet light mainly, and in some cases, carcinogenic agents such as arsenic coal tar and petroleum products. It is frequently seen in sun-exposed area; however, other unexposed area can also be affected in few patients. Among the unexposed area, this disease affecting breast is a rare entity. These lesions are erythematous with raised, well-defined borders and a scaly appearance that may be confused with psoriasis. They present with an indolent history, having been present for years with slow growth. Histopathologically, there is atypia of the full thickness of the epidermis without dermal invasion. Progression to squamous carcinoma is slow, but 5% ultimately develop dermal invasion. Treatment generally requires complete excision for both definitive diagnosis and to rule out invasion and cure.

Keywords

Bowen’s disease - breast malignancy - squamous cell carcinoma


Publication History

Article published online:
24 May 2021

© 2019. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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