Perianal Bowen’s disease: two cases report
DOI:
https://doi.org/10.29176/2590843X.1156Keywords:
Bowen’s disease, anus neoplasms, anus diseases, carcinoma squamous cell, carcinoma in situAbstract
The compromise of the perianal region due to Bowen's disease is rare, its etiology has been related to human papillomavirus infection. Perianal Bowen's disease can be found incidentally and the symptoms they produce are nonspecific, it can be expressed as erythematous, whitish and occasionally pigmented plaques, it can resemble as eczematous dermatitis or lichen simplex chronicus. Evolution is slow, between 2% and 6% of cases can progress to an invasive squamous cell carcinoma. The treatment can be surgical or not. Among non-surgical treatments include Photodynamic therapy, which is considered a first line treatment, it is safe and effective in the short term, however, it seems that recurrences are frequent in the long term. Two cases of perianal Bowen disease are presented. The first case represents the pigmented form, a variant of uncommon clinical presentation, treated with extensive local surgery. The second case received a conservative treatment with photodynamic therapy with a satisfactory response in the short term.
Author Biographies
Óscar Jairo Valencia Ocampo
Dermatólogo, Profesor. Centro de Investigaciones Dermatológicas, CIDERM, Unidad de Fotodermatología sede IPS Universitaria, Sección de Dermatología, Facultad de Medicina, Universidad de Antioquia
Marta Cecilia Sierra Sierra
Dermatóloga, Profesora. Sección de Dermatología, Fototerapia Sede San Vicente Fundación Hospital Universitario, Facultad de Medicina, Universidad de Antioquia
Juan Guillermo Hoyos Gaviria
Dermatólogo, Profesor. Sección de Dermatología, Facultad de Medicina, Universidad de Antioquia
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