Understanding Bowen’s Disease: Causes, Symptoms, and Treatment Options
If you’re concerned about developing a scaly, red rash on your skin, you might be experiencing Bowen’s disease. This non-melanoma skin cancer is becoming increasingly common, affecting over 30,000 people in the United States each year. While it is considered precancerous, it is important to treat it early to prevent it from progressing to something more serious.
Causes of Bowen’s Disease
Bowen’s disease is typically caused by exposure to ultraviolet (UV) light, most commonly from the sun. It can also be caused by exposure to other forms of radiation, such as from tanning beds. People who spend lots of time outdoors, such as farm workers or construction workers, are at a higher risk of developing Bowen’s disease.
Symptoms of Bowen’s Disease
The symptoms of Bowen’s disease can include an scaly, red patch on the skin that doesn’t seem to heal. The patch may also be raised or bumpy. It can appear anywhere on the body, but it is most commonly found on sun-exposed areas such as the arms, legs, or face. It is important to see a dermatologist if you have any of these symptoms, as they can conduct a biopsy to determine if it is Bowen’s disease.
Treatment Options for Bowen’s Disease
There are several treatment options available for Bowen’s disease, depending on the location and size of the affected area. The two primary treatments are:
1. Topical Medications: This involves applying a cream or gel directly to the affected area. The most commonly used drug is called 5-fluorouracil, which works by killing abnormal cells. It can take several weeks for the treatment to be effective, and the area will be sore and red during that time. But topical medications are often a good choice for people with smaller areas of affected skin.
2. Mohs Surgery: This is a surgical procedure during which the affected area is removed, layer by layer, until there are no more abnormal cells remaining. It is typically reserved for patients with larger or more extensive areas of affected skin. The goal of Mohs surgery is to completely remove the abnormal cells while preserving as much of the healthy tissue as possible.
Conclusion
Bowen’s disease is a treatable form of skin cancer, but it’s important to identify it early and seek treatment from a dermatologist. While it is typically caused by exposure to UV light, it can also be caused by other forms of radiation. Symptoms include a scaly, red patch of skin that doesn’t seem to heal. Treatment options include topical medications or Mohs surgery, depending on the size of the affected area. If you’re concerned about any changes in your skin, talk to your dermatologist.
