Bowen's Disease Treated by Rhombic Transposition Flap / 대한피부과학회지

ABSTRACT

Bowen's disease is a form of intraepidermal (in situ) squamous cell carcinoma, originally discovered in 1912. Bowen's disease is treated because of the risk of progression to invasive squamous cell carcinoma. The treatment options for Bowen's disease include curettage and cautery, excision, cryotherapy, laser ablation, photodynamic therapy and topical 5-fluorouracil. Surgical excision is generally regarded as the treatment of choice for most Bowen's disease lesions. Such a treatment requires lesions that are small, well-defined, and located in an area which permits such a procedure. However larger lesions of Bowen's disease are difficult to close primarily, and they have typically been treated with large skin grafts and required hospitalization of up to two or three weeks. We report two cases of Bowen's disease treated by rhombic transposition flap. In our cases, there were no significant complications and the results were cosmetically acceptable. The post-operative hospitalization time was reduced to one week. Skin flap is a simple and satisfactory alternative for the reconstruction of large-sized lesions of Bowen's disease.