Bowen Disease — SCE Dermatology MCQ

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HardSkin CancerBowen DiseaseSCE Dermatology

A plaque previously diagnosed as Bowen disease becomes tender, indurated and focally ulcerated. Which management is now most appropriate?

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Correct answer: C — Excision with histological assessment for invasion

New induration, tenderness or ulceration in squamous cell carcinoma in situ raises concern for invasive transformation. Histological assessment of the suspicious focus and definitive margin-controlled treatment take priority over further non-histological field treatment.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines