Surgical Approach for Reconstruction of a Morbus Bowen Defect in the Genital Area: A Case Report
Journal
Mathews Journal of Dermatology
Date Issued
2023
Author(s)
Ana Selchanec
Gloria Gjorgova
Marija Spasovska
Abstract
Bowen’s disease is also known as intraepithelial squamous cell carcinoma
in situ which can appear on the skin or mucous membranes (including
mouth, anus and genitalia). The macroscopic appearance of Morbus
Bowen is as erythematous, rough, scaly and sharply demarcated plaques,
and histologically there is hyperkeratosis, parakeratosis, dyskeratosis
and acanthosis present. The precursor lesion is slow-growing, and if left
untreated, it can progress and transform into squamous cell carcinoma
(SCC). In this particular case, our 68 year old female patient presented
with a genital form of Morbus Bowen, and she had had the plaques for
15 years. The lesions were previously treated with cryotherapy and
dermatological creams, but to no avail. This patient was treated in our
Clinic with a surgical excision and a Thiersch skin graft (STSG) to close
the defect. Consequently, we have evaluated her 3 months post-op and
the results are satisfactory
in situ which can appear on the skin or mucous membranes (including
mouth, anus and genitalia). The macroscopic appearance of Morbus
Bowen is as erythematous, rough, scaly and sharply demarcated plaques,
and histologically there is hyperkeratosis, parakeratosis, dyskeratosis
and acanthosis present. The precursor lesion is slow-growing, and if left
untreated, it can progress and transform into squamous cell carcinoma
(SCC). In this particular case, our 68 year old female patient presented
with a genital form of Morbus Bowen, and she had had the plaques for
15 years. The lesions were previously treated with cryotherapy and
dermatological creams, but to no avail. This patient was treated in our
Clinic with a surgical excision and a Thiersch skin graft (STSG) to close
the defect. Consequently, we have evaluated her 3 months post-op and
the results are satisfactory
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