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afya Bowens Disease

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<<forEachTiddler  where 'tiddler.tags.contains(context.inTiddler.title)'
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''(SCCinsitu)''
well-demarcated erythematous scaly ?hyperkeratotic, solitary lesions (<20% get multiple lesions) on sun exposed sites esp lower legs of older women (in UK - site varies between countries)
may be confused with Psoriasis (look for changes elsewhere)
HPV implicated in mucosal Bowen's
?5% undergo malignant transformation to SCC but much higher if on mucosal site
surgery is definitive treatment but also used - cryotherapy, 5FU, C&C, photodynamic, DXT