Dental Problems

Oral Precancer – Bowens Disease

TeethacheBowens disease is one of the oral precancerous conditions. The causes, clinical features, histopathological features and management of the oral precancer – Bowen’s disease is discussed below in this article. Let us examine them.

Bowens disease:

Bowen’s disease is a localized ‘intra epidermal carcinoma’which may progress to invasive carcinoma over several years, which is characterized by progressive crusted or scaly plaque like lesion.

Causes:

The most common causes of Bowen’s disease include the following:

  • Arsenic ingestion and
  • Sun exposure

Clinical features:

  • Sties:

    It occurs on female and male genital mucosa and in oral mucosa as erythematous lesions, leukoplakia or erythroplakia.

  • Appearance:

    It appears as a slowly enlarging erythematous patches with a little to suggest for the malignant process.

  • Skin:

    A red and slightly scaly area is present on the skin, which eventually enlarges and turns into yellowish or white lesion.
    Signs: When the scales are removed, it produces a granular surface without bleeding.

Histopathological features:

  • There are intra-eptihelial features of malignancy.
  • The epithelial cells of the lesion lie in complete disarray with a highly atypical hyper chromatic nuclei and multiple nuclear forms.

Management:

Bowen’s disease can be managed by the use of diathermy, freezing technique, radiotherapy, cauterization or application of cytotoxic drugs.

The above article discusses about the

oral precancer -Bowen’s disease

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