Bowen’s Disease in Kashmir - A Pilot Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 6
Abstract
Introduction: Bowen’s disease (BD) is an in situ squamous cell carcinoma (SCC) which was first described in 1912 by JT Bowen. Clinically a typical BD is a slowly enlarging erythematous patch or plaque which is well demarcated and has a scaling or crusted surface. In some cases it can be pigmented or verrucous. Study aimed to compare wide surgical excision versus electrocautery as a treatment modality for BD. Material and Methods: Patients with a clinical suspicion of Bowen’s disease were included in the study. Histopathological examination was done after a punch biopsy or edge biopsy depending on an individual case. Patients were divided in two groups, In Group 1 Surgical excision was performed and in Group 2 electric cauterisation was done. All the patients whose biopsy proved to be consistent with Bowen’s disease were kept on follow up at weekly intervals for one month and then monthly for any sign of recurrence. Results: This study included 30 patients 22 females (73.33%) and 8 males (26.66%). The age range of the patients was 40- 70 years. The disease duration in these patients varied from 1to 3 years. Half of the patients had used topical treatments for more than three to six months. The disease in these patients had progressed and they had also developed pain and pruritus. Patients were divided in two groups, In Group 1 Surgical excision was performed (15 patients) and in Group 2 patients electric cauterisation was done. The anteromedial aspect of the thigh, anterior abdomen followed by legs were the most common sites affected respectively. All the lesions of BD were overlying the lesions of Erythema ab Igne from Kangri use. In Group 2 three patients showed recurrence of lesion during six months. Conclusion: Our study demonstrated very good results with surgical excision as compared to cauterisation, which resulted in recurrence in some cases, especially with lesions on the thighs and abdomen.
Authors and Affiliations
Shabir A Bhat, Sheikh Manzoor, Syed Mubashir, Farah Sameem, Syed Shahab Ud Din Bukhari
Keywords
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