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      About Oncology Research and Treatment: 2.4 Impact Factor I 3.3 CiteScore I 0.495 Scimago Journal & Country Rank (SJR)

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      Concurrent Bowen's Disease of the Nipple and Breast Cancer

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          Abstract

          Bowen's disease is a squamous cell carcinoma in situ that commonly develops on the trunk, arms, or legs and has not spread beyond the top layer of skin. It seldom develops on the nipple. We report a patient who presented with Bowen's disease of the nipple and had a concurrent breast cancer identified in the ipsilateral breast after careful examination. Histopathological examination of the surgical specimen after mastectomy confirmed the diagnoses.

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          Most cited references29

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          British Association of Dermatologists' guidelines for the management of squamous cell carcinoma in situ (Bowen's disease) 2014.

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            Guidelines for management of Bowen's disease: 2006 update.

            This article represents a planned regular updating of the previous British Association of Dermatologists (BAD) guidelines for management of Bowen's disease. They have been prepared for dermatologists on behalf of the BAD. They present evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines.
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              Cutaneous Bowen's disease. An analysis of 1001 cases according to age, sex, and site.

              There are no large studies of Bowen's disease that have analyzed its distribution according to age, sex, and site. This study was performed primarily to determine whether there were significant sex and site differences in the distribution of Bowen's disease. One thousand one skin biopsy specimens of Bowen's disease were analyzed according to age, sex, and site of origin. This study revealed that the most common site of Bowen's disease was the head and neck (440 lesions), whereas specimens from the lower limbs (298 lesions) and upper limbs (198 lesions) outnumbered specimens from the torso (65 lesions). Of 298 specimens from the lower limbs, 72.1% were from women; 79.3% of the 87 specimens from the scalp and ears were from men. Eighty percent of the 85 specimens of Bowen's disease from the cheeks were from women. These results indicate that cutaneous Bowen's disease occurs mainly on sun-exposed sites. This is also supported by the predominance of Bowen's disease on the lower limbs in women and on the scalp and ears in men. The basis for the female predominance on the cheeks is unknown, but may reflect the increased vulnerability to sun damage of superficial vellus hair follicles that predominate on the cheeks in women. This finding may provide indirect support for the hypothesis that some forms of Bowen's disease have a follicular histogenesis.
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                Author and article information

                Journal
                Case Rep Oncol
                Case Rep Oncol
                CRO
                Case Reports in Oncology
                S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.com )
                1662-6575
                Sep-Dec 2020
                30 November 2020
                30 November 2020
                : 13
                : 3
                : 1410-1414
                Affiliations
                [1] aDepartment of Breast Surgery, Shizuoka Prefectural Hospital Organization, Shizuoka General Hospital, Shizuoka, Japan
                [2] bDepartment of Pathology, Shizuoka Prefectural Hospital Organization, Shizuoka General Hospital, Shizuoka, Japan
                Author notes
                *Ryoichi Matsunuma, Department of Breast Surgery, Shizuoka Prefectural Hospital Organization, Shizuoka General Hospital, 4-27-1 Kita-ando Aoi-ku, Shizuoka 420-8527 (Japan), r-matsunuma@ 123456nifty.com
                Article
                cro-0013-1410
                10.1159/000511565
                7772859
                33442364
                79dd909d-a774-46b7-9a09-d3f32e2a4116
                Copyright © 2020 by S. Karger AG, Basel

                This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.

                History
                : 28 August 2020
                : 8 September 2020
                : 2020
                Page count
                Figures: 2, References: 16, Pages: 5
                Categories
                Case Report

                Oncology & Radiotherapy
                bowen's disease,breast cancer,squamous cell carcinoma
                Oncology & Radiotherapy
                bowen's disease, breast cancer, squamous cell carcinoma

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