Bowen's disease

Bowen’s disease, also known as SCC in situ, is an early stage of squamous cell skin cancer. It presents as a persistent, slowly growing, red and scaly patch on the skin that may be mistaken for benign skin conditions like eczema or psoriasis. The key characteristic of Bowen’s disease is that the cancer cells are confined to the epidermal layer of the skin and have not invaded deeper tissues.

Group 216

Dermatologist Led Practice

Frame 17
Mask group

100,000+ Consultations & Treatments

Key Points

What is Bowen's disease?

Bowen’s disease is a type of skin cancer that is restricted to the outer layer of the skin. It does not usually pose an immediate threat to health because it has not invaded deeper tissues. However, there is a risk that it may develop into invasive squamous cell carcinoma if left untreated.

Who gets Bowen's disease?

Bowen’s disease is more common in elderly individuals and those with fair skin. It can occur in younger people, particularly if they have had prolonged exposure to the sun or arsenic exposure.

Clinical features

The lesion of Bowen’s disease usually appears as a well-demarcated, red, scaly patch. It can occur anywhere on the body but is most commonly found on sun-exposed areas such as the head, neck, and lower legs.

Diagnosis and differential diagnosis

Diagnosis is generally made through a skin biopsy. Differential diagnosis includes eczema, psoriasis, superficial basal cell carcinoma, and actinic keratosis.

Impact and complications

The main complication of Bowen’s disease is the potential for it to progress to invasive squamous cell carcinoma. Regular monitoring and treatment are crucial to prevent this progression.

Treatment options for Bowen's disease

The treatment for Bowen’s disease is focused on removing or destroying the lesion to prevent its progression to invasive squamous cell carcinoma (SCC). Surgical excision is employed in some cases, but not always required. Cryotherapy is another method used, which involves freezing the lesion to destroy it. Curettage with cautery, which scrapes away the cancer cells and uses electricity to kill any that are left is commonly employed for Bowen’s disease. Topical treatments can be applied to induce regression of the lesion. Photodynamic therapy is also a common option, where a photosensitising agent is used in conjunction with light exposure to effectively destroy cancer cells. With these treatment approaches, the prognosis for Bowen’s disease is generally good, though close follow-up is essential to monitor for any recurrence or the development of new lesions.

See what our patients have to say

-
Read More
Extremely friendly and efficient staff, great office and didn't have to wait long to be seen.
-
Read More
Very happy with my experience at this clinic. Excellent service with friendly staff and informative consultation
-
Read More
Really professional clinic with great staff who were super friendly, helpful and patient with explaining any procedures I required. Thanks
-
Read More
Meticulous professional care in a friendly and supportive environment. Highly recommended.
-
Read More
I have been to the clinic a couple of times now and I highly recommend. The reception staff are always friendly and welcoming, Fantastic in regards to the laser procedure, very informative and helpful, overall, always a great experience. I have tried other clinics in the past but haven't found one that compares to Melbourne Skin & Dermatology, hence why I continue to return.
-
Read More
I have been going to Melbourne Skin & Dermatology for about 2yrs now. They are always very professional and helpful. It is a very easy place to get to and the parking is great.
-
Read More
Very happy! Easy, helpful and very friendly!
-
Read More
Amazing smooth experience. All the staff were amazing, helpful, and professional. Treatment process was quick and easy. Highly recommend Melbourne Skin & Dermatology in Rowville.
-
Read More
Listened and accommodated to my skin issues, made me feel comfortable and staff were extremely friendly and comforting.
Previous
Next

Blog Posts

General Skin Topics

Beyond the Dark Spot

The lesser-known faces of melanoma In the discourse on skin cancer, melanoma is often depicted by its most recognisable form; a dark, ugly-looking mole. However,

Read More »
Hyperhidrosis

The Impact of Hyperhidrosis

Life’s worries Sweat is something that most people hardly think about.  It’s just something that happens when it’s hot, when your working out, or sometimes

Read More »
Scroll to Top