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Previous Topic | Next Topic  Bowen vs bowenoid papulosis 




 
Kaplan Qbank USMLE



Author4 Posts
  #1

What is the difference ?

  #2

bowen is white and bowenoid is reddish-brown... erythplasia of querat is bright red.... that's all i can remember... can anyone confirm??

___________________
where i lay my head is home.

  #3

Bowen’s disease

Also called squamous cell carcinoma in situ

Age 35+; affects skin of shaft of penis and scrotum; also occurs in women

10% progress to invasive squamous cell carcinoma

1/3 may have unrelated visceral malignancy (lung, GI, urinary tract)

HPV positive

Gross: sharply demarcated, gray-white plaque with shallow ulcer and crusting

Micro: markedly dysplastic cells in all layers of epithelium, large hyperchromatic nuclei, multinucleated cells, dyskeratosis, vacuolization, acanthosis, hyperkeratosis, stroma with vascular proliferation and chronic inflammatory infiltrate; atypical mitoses but intact dermal epidermal junction



Bowenoid papulosis

Sexually active young men (mean age 30), usually on skin of shaft, glans or scrotum

Associated with HPV 16 or 18

Almost never becomes invasive

May spontaneously regress

Gross: multiple, small, pigmented papular lesions, may resemble condyloma acuminatum

Micro: histologically resembles Bowen’s disease, but may have mild/heavy melanin pigmentation within the lesion; often spiky or flat appearance, may have less cytologic atypia

taken from: http://pathologyoutlines.com/penscrotumpf.html#bo...

  #4

good answer

thank







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