Anal Bowen’s Disease: Retrospective Analysis of Five Cases

Autor: Ozan Akıncı, Fadime Kutluk, Süphan Ertürk, Serdar Yüceyar
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Turkish Journal of Colorectal Disease, Vol 28, Iss 1, Pp 22-26 (2018)
Druh dokumentu: article
ISSN: 2536-4898
2536-4901
DOI: 10.4274/tjcd.28863
Popis: Aim: Anal Bowen’s disease is a rare in-situ squamous cell carcinoma of the anus. Symptoms such as pruritus, burning, and pain in the perianal region are the first complaints of patients at admission. The disease should be differentiated from many dermatological diseases such as psoriasis, Paget’s disease, eczema, seborrheic dermatitis, and lichen planus. Factors such as human papilloma virus, arsenic, radiation exposure, and immunosuppression have been idefined in the etiology. In this study, we retrospectively reviewed five patients who were diagnosed with and treated for anal Bowen’s disease in our clinic. Method: We retrospectively analyzed parameters such as age, gender, symptoms, lesion size, surgical treatment technique, comorbidity, and predisposing factors of five patients who were diagnosed with anal Bowen’s disease and treated surgically in our clinic between 2000 and 2017. Results: The mean age of the cases was 64 years. Three were female and two were male. The most common symptom was anal itching. One of the patients refused treatment, while two underwent excision + primary suture. One patient underwent excision + Limberg flap, while excision + V-Y advancement flap were performed in the other case. Conclusion: Anal Bowen’s disease is a rare in-situ squamous cell carcinoma that is diagnosed by lesion biopsy. Wide surgical excision is a safe and definitive treatment. Primary repair or skin flaps can be used for reconstruction.
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