Giant Bowen’s Disease on the Face: Case Report and Review of the Literature

Abstract

BACKGROUND: Giant Bowen’s disease is a rare and unusual clinical manifestation. Presenting as extensive scaly erythematous patch or plaque, it gives rise to a wide spectrum of dermatological differential diagnoses.
 CASE PRESENTATION: We report a patient with giant Bowen’s disease on the face that was successfully treated with topical 5 % imiquimod. A review of the literature was made with the aim to analyse and compare the findings in it with our observation.
 CONCLUSION: We present this case to draw attention to the importance of the self skin examination in the elderly population. Also, to prevent development to invasive squamous cell carcinoma from Bowen’s disease, we recommend mandatory dermoscopic examination on every long-standing erythemosquamous lesion.

An Unusual Case of Recurrent Cutaneous Carcinomas Over Extragenital Multicentric Pigmented Bowen’s Disease

“…Bowen’s disease is a gradually progressive in situ cutaneous malignancy whose period for full expression can vary from 2 years to a maximum of 40 years. [ 4 5 ] It is predominantly solitary and localized over photo-exposed areas, especially over the face and extremities. [ 5 6 7 ] Our patient had lesions over photo-protected areas such as the trunk, waist, back, and buttocks, in contrast to most reports.…”

“…[ 4 5 ] It is predominantly solitary and localized over photo-exposed areas, especially over the face and extremities. [ 5 6 7 ] Our patient had lesions over photo-protected areas such as the trunk, waist, back, and buttocks, in contrast to most reports. [ 8 ]…”