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Published online: 2024-04-15

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Choose your biopsy site wisely — the utility of dermoscopy in the diagnosis of Bowen’s disease of the face

Irena Wojtowicz1, Karolina Krawczyk-Wołoszyn12, Elżbieta Ostańska3, Adam Reich1, Magdalena Żychowska1

Abstract

Precise assessment of facial lesions in photo-damaged skin could be challenging. A collision of benign, premalignant and malignant tumours is not uncommon. Selecting the biopsy site is fundamental for making a proper diagnosis. Therefore, biopsies should not be taken blindly but should be preceded by a detailed preliminary evaluation with dermoscopy, in particular. The article presents a case of a 78-year-old female patient, in whom dermoscopy-guided incisional biopsy of an irregular erythematous plaque led to the diagnosis of in situ squamous cell carcinoma.

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