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Dermatol Surg. 2001 Jul;27(7):673-4.

Pigmented Bowen's disease (squamous cell carcinoma in situ): a mimic of malignant melanoma.

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  • 1Baylor College of Medicine, Houston, Texas 77025, USA.

Abstract

BACKGROUND:

Darkly pigmented individuals may manifest unusual or uncharacteristic presentations of various skin conditions, including heavy pigmentation of cutaneous tumors.

OBJECTIVE:

To increase the awareness of an unusual presentation of Bowen's disease in a darkly pigmented individual.

METHODS:

We report the case of a 52 year old black woman that presented with a lesion clinically consistent with malignant melanoma. However, histopathologic examination revealed pigmented Bowen's disease.

RESULTS:

A biopsy is almost always indicated to confirm the diagnosis of lesions in darkly pigmented individuals.

CONCLUSION:

This case is presented to reinforce the idea that pigmented Bowen's disease should be considered in the differential diagnosis of malignant melanoma.

PMID:
11442622
[PubMed - indexed for MEDLINE]
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