关键词: Bowen's disease Case report Histopathology Perianal Surgery

来  源:   DOI:10.1016/j.ijscr.2024.109459   PDF(Pubmed)

Abstract:
UNASSIGNED: Bowen\'s Disease (BD) stands out as a dermatologic entity known for its rarity and diagnostic intricacies. While BD is recognized for its diverse clinical presentations, its occurrence in the perianal region is particularly exceptional. Our case contributes to the limited body of knowledge regarding perianal BD, shedding light on its distinctive characteristics and guiding clinicians in navigating the intricacies associated with this uncommon presentation.
METHODS: We present the case of a 67-year-old female who sought medical attention for persistent itching in the perianal region. A thorough examination revealed a solitary BD lesion, a notable rarity in this anatomical site. Considering the distinctive characteristics and location, surgical excision was chosen as the preferred treatment strategy. The postoperative course was straightforward, yielding favorable aesthetic outcomes and no recurrence.
UNASSIGNED: The clinical discussion explores the unique challenges associated with perianal BD, emphasizing the rarity of its presentation and its potential to mimic other dermatologic conditions. Factors contributing to the diagnosis, including clinical indicators and risk factors, are scrutinized. Furthermore, the discussion delves into the evolving landscape of diagnostic tools and treatment modalities, especially relevant in the context of perianal BD.
CONCLUSIONS: This case illuminates the rarity of BD in the perianal region, serving as a valuable addition to the limited body of knowledge on this unusual presentation. By unraveling the complexities associated with perianal BD, this report contributes to a deeper understanding of the disease and provides insights that can guide clinicians in navigating similar cases.
摘要:
Bowen病(BD)是以其稀有性和诊断复杂性而闻名的皮肤病学实体。虽然BD以其多样化的临床表现而闻名,它在肛周区域的发生尤为特殊。我们的案例有助于有限的知识关于肛周BD,阐明其独特的特征,并指导临床医生浏览与这种罕见的表现相关的复杂性。
方法:我们介绍了一名67岁女性因肛周区域持续瘙痒而寻求医疗护理的病例。彻底检查发现有孤立的BD病变,在这个解剖部位非常罕见。考虑到独特的特点和位置,选择手术切除作为首选治疗策略.术后过程很简单,产生良好的美学结果,没有复发。
临床讨论探讨了与肛周BD相关的独特挑战,强调其表现的稀有性及其模仿其他皮肤病的潜力。有助于诊断的因素,包括临床指标和危险因素,被仔细检查。此外,讨论深入探讨了诊断工具和治疗方式的不断发展的景观,尤其与肛周BD有关。
结论:该病例说明了肛周区域BD的稀有性,作为对这个不寻常的演示文稿的有限知识体系的宝贵补充。通过解开与肛周BD相关的复杂性,本报告有助于更深入地了解该疾病,并提供了可以指导临床医生浏览类似病例的见解.
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