open access
Choose your biopsy site wisely — the utility of dermoscopy in the diagnosis of Bowen’s disease of the face
Affiliations- Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszów, Poland
- The Doctoral School, University of Rzeszow, Rzeszów, Poland
- Department of Pathology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszów, Poland
open access
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.
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.
Keywords
Bowen’s disease, squamous cell carcinoma, dermoscopy guided biopsy, dermatosurgery, dermoscopy, dermatoscopy
About this articleTitle
Choose your biopsy site wisely — the utility of dermoscopy in the diagnosis of Bowen’s disease of the face
Journal
Issue
Article type
Case report
Published online
2024-04-15
Page views
48
Article views/downloads
37
DOI
Keywords
Bowen’s disease
squamous cell carcinoma
dermoscopy guided biopsy
dermatosurgery
dermoscopy
dermatoscopy
Authors
Irena Wojtowicz
Karolina Krawczyk-Wołoszyn
Elżbieta Ostańska
Adam Reich
Magdalena Żychowska
References (25)- Bowen J. Precancerous dermatoses: a study of two cases of chronic atypical epithelial proliferation. Arch Dermatol. 1983; 119(3): 243–260.
- Wozniak-Rito AM, Rudnicka L. Bowen's disease in dermoscopy. Acta Dermatovenerol Croat. 2018; 26(2): 157–161.
- Palaniappan V, Karthikeyan K. Bowen's disease. Indian Dermatol Online J. 2022; 13(2): 177–189.
- Behera B, Kumari R, Thappa DM, et al. Dermoscopy of Bowen's disease: a case series of five patients. Indian J Dermatol Venereol Leprol. 2021; 87(4): 576–580.
- Marghoob A, Braun R, Jaimes N. Atlas of Dermoscopy Third Edition. CRC Press, Boca Raton 2023: 108–115.
- Zalaudek I, Argenziano G, Leinweber B, et al. Dermoscopy of Bowen's disease. Br J Dermatol. 2004; 150(6): 1112–1116.
- Bomm L, Benez MD, Maceira JM, et al. Biopsy guided by dermoscopy in cutaneous pigmented lesion — case report. An Bras Dermatol. 2013; 88(1): 125–127.
- Merkel EA, Amin SM, Lee CY, et al. The utility of dermoscopy-guided histologic sectioning for the diagnosis of melanocytic lesions: a case-control study. J Am Acad Dermatol. 2016; 74(6): 1107–1113.
- Kołcz K, Kaznowska E, Reich A, et al. Trichoscopy-guided biopsy for the evaluation of scarring alopecia due to discoid lupus erythematosus. Forum Derm. 2023; 9(4): 167–171.
- Griggs J, Trüeb RM, Gavazzoni Dias MF, et al. Fibrosing alopecia in a pattern distribution. J Am Acad Dermatol. 2021; 85(6): 1557–1564.
- Miteva M, Tosti A. Dermoscopy guided scalp biopsy in cicatricial alopecia. J Eur Acad Dermatol Venereol. 2013; 27(10): 1299–1303.
- Elloudi S, Gallouj S, Meziane M, et al. Alopécie frontale fibrosante : étude prospective de 20 cas [Frontal fibrosing alopecia: A prospective study of 20 cases]. Ann Dermatol Venereol. 2017; 144(6–7): 409–414.
- Salas-Callo CI, Carvalho Quintella D, Saceda-Corralo D, et al. Follicular melanocytes in frontal fibrosing alopecia: an immunohistochemical study with trichoscopic correlation. Am J Dermatopathol. 2022; 44(4): 254–256.
- Chuh A, Zawar V, Fölster-Holst R. Dermoscope-guided lesional biopsy to diagnose EMA+ CK7+ CK20+ extramammary Paget's disease with an extensive lesion. J Eur Acad Dermatol Venereol. 2018; 32(3): e92–e94.
- Kaur I, Chowdhry S, D'Souza P, et al. Intra-Operative dermoscopy in assessment of melanonychia and as a guide for biopsy. Indian Dermatol Online J. 2020; 11(2): 171–176.
- Navarrete J, Cabrera R, Bunker CB, et al. Dermoscopy of penile sclerosing granuloma. BMJ Case Rep. 2021; 14(3).
- Bet DL, Reis AL, Di Chiacchio N, et al. Dermoscopy and onychomycosis: guided nail abrasion for mycological samples. An Bras Dermatol. 2015; 90(6): 904–906.
- Robinson JK. Use of digital epiluminescence microscopy to help define the edge of lentigo maligna. Arch Dermatol. 2004; 140(9): 1095–1100.
- Liu Z, Huang S, Li F, et al. The efficacy of dermoscopy in defining the surgical margins of cutaneous squamous cell carcinoma: a retrospective study. Front Oncol. 2023; 13: 1141820.
- Paoli J. Predicting adequate surgical margins for cutaneous squamous cell carcinoma with dermoscopy. Br J Dermatol. 2015; 172(5): 1186–1187.
- Carducci M, Bozzetti M, de Marco G, et al. Preoperative margin detection by digital dermoscopy in the traditional surgical excision of cutaneous squamous cell carcinomas. J Dermatolog Treat. 2013; 24(3): 221–226.
- Caresana G, Giardini R. Dermoscopy-guided surgery in basal cell carcinoma. J Eur Acad Dermatol Venereol. 2010; 24(12): 1395–1399.
- Carducci M, Bozzetti M, De Marco G, et al. Usefulness of margin detection by digital dermoscopy in the traditional surgical excision of basal cell carcinomas of the head and neck including infiltrative/morpheaform type. J Dermatol. 2012; 39(4): 326–330.
- Litaiem N, Hayder F, Benlagha I, et al. The use of dermoscopy in the delineation of basal cell carcinoma for mohs micrographic surgery: a systematic review with meta-analysis. Dermatol Pract Concept. 2022; 12(4): e2022176.
- Chuh A, Zawar V, Fölster-Holst R. The first dermoscope-guided excisional biopsy for optimal clinical and cosmetic outcomes – a procedure performed in a primary care setting in Hong Kong, HK Pract 2020; 42: 3–6.
