- Este o forma de CSC in situ
- Apare mai frecvent dupa 70 de ani
- Femeile sunt afectate mai frecvent decat barbatii
Factori de risc
- Expunerea la soare
- Expunerea la radiatii ionizante
- Expunerea la arsenic
- Imunosupresia,
- Infectia cu HPV
Clinic
- Placa eritematoasa bine delimitata cu diametrul de 2-5 cm, cu contul policiclic, acoperita de o scuama alb-galbuie, in general localizata pe scalp si urechi la barbat si pe membrul inferior la femei
- Pacientii expusi la arsenic pot prezenta leziuni multiple pe zone neexpuse la soare
Diagnostic diferential
- Psoriazis
- Eczema numulara
- Keratoza actinica
- CBC pagetoid
- Lupus eritematos cronic
- Boala Paget extramamara
Evolutie si prognostic
- Evolutie cronica cu crestere treptata in dimensiuni
- Ulcerarea sugereaza transformarea maligna
- Rata de transformare in CSC este de 3-5%
Tratament
- Chirurgical
- Excizie chirurgicala
- Chirurgie micrografica Mohs
- Electrocauterizare
- Chiuretare
- Crioterapie
- Tratament laser
- Medical
- 5-FU topic
- Imiquimod topic
- Terapia fotodinamica
- Radioterapie
Bibliografie
- James William, Berger Timothy, Elston Dirk. Andrews’ Diseases of the Skin. Clinical Dermatology. Tenth Edition, Saunders Elsevier, 2006
- Bolognia Jean L, Joseph L. Jorizzo and Schaffer Julie V. Dermatology. ISBN: 978-0-7234-3571-6 Elsevier, 3Ed, 2012.
- Cox NH, Eedy DJ, Morton CA. Guidelines for management of Bowen’s disease: 2006 update. British Journal of Dermatology. 2007 Jan 1;156(1):11-21.
- Bonerandi JJ, Beauvillain C, Caquant L, Chassagne JF, Chaussade V, Clavere P, Desouches C, Garnier F, Grolleau JL, Grossin M, Jourdain A. Guidelines for the diagnosis and treatment of cutaneous squamous cell carcinoma and precursor lesions. Journal of the European Academy of Dermatology and Venereology. 2011 Dec 1;25(s5):1-51.
- Arlette JP. Treatment of Bowen’s disease and erythroplasia of Queyrat. British Journal of Dermatology. 2003 Nov 1;149(s66):43-7.