A 65-year-old light-complexioned male presents with a solitary scaly plaque like lesion on his forearm present for many years. The lesion is 0.5 cm in diameter. Shave biopsy reveals intraepithelial squamous cell carcinoma. (Bowen's disease) incompletely excised. Further treatment includes:
Bowen's disease represents an intraepithelial squamous cell carcinoma (carcinoma in situ) and is seen in older patients. These lesions tend to have a long clinical course. Adequate excision is the recommended treatment as these lesions can become invasive squamous cell carcinomas and metastatasize.