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Indian Journal of Medical and Paediatric Oncology
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Year : 2019  |  Volume : 40  |  Issue : 5  |  Page : 152-153

A rare disease of the breast: Bowen's disease

Department of Surgery, ESI PGIMSR, New Delhi, India

Correspondence Address:
Atul Jain
Department of Surgery, ESI PGIMSR, Basaidarapur, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmpo.ijmpo_223_17

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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.

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