Bowenoid Papulosis

What is bowenoid papulosis?

Bowenoid papulosis is a rare form of intraepithelial neoplasm. This means it is a precancerous skin condition. It presents as single or multiple small, red, brown, or flesh-colored spots or patches on the genitalia of males and females. In women it is a type of vulvar intraepithelial neoplasia (VIN) and in men it is a type of penile intraepithelial neoplasia.

The human papillomavirus (HPV), the cause of genital warts and some genital cancers, has been closely linked to Bowenoid papulosis. Although most cases of Bowenoid papulosis are benign (harmless) a small percentage can transform into invader scaly cell carcinoma (penis or vulva Cancer)

Who is at risk for Bowenoid papulosis and how is it spread?

Sexually active people may be at risk for Bowenoid papulosis. As with genital warts, HPV transmission is most often transmitted through direct sexual skin-to-skin contact. Partners of patients with Bowenoid papulosis should be screened for other forms of intraepithelial neoplasia (cervical, penile, vulvar, and anal).

Men and women are at the same risk and peak incidence it is found in sexually active people under the age of 30.

What are the signs and symptoms of Bowenoid papulosis?

Small flat red, brown, or flesh-colored or warty The lesions most often appear on the shaft of the penis or the labia in women. They may also be present on other parts of the genitalia, as well as in and around the anus. The condition usually has no symptoms, but occasionally the lesions can become inflamed, itchy, and painful. Diagnosis is usually made by skin. biopsy.

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Bowenoid papulosis tends to go away on its own within several months, and if a young woman is pregnant when diagnosed, it will often go away after delivery. If persistent, this is an indication for active treatment due to the possibility of developing skin cancer.

Once infected with HPV, you can become a person for life. carrier of the virus and reappearance of Bowenoid papulosis or other intraepithelial cancers in the genital area is possible.

How is bowenoid papulosis diagnosed?

Bowenoid papulosis can be diagnosed by its typical clinical appearance, especially with the help of dermatoscopy or skin biopsy. Squamous cell carcinoma in the place pathology It is diagnostic in skin biopsy.

What is the treatment for Bowenoid papulosis?

Because Bowenoid papulosis generally follows a benign course with many cases regressing spontaneously, treatment is often unnecessary. Lesions should be reexamined every 3 to 6 months so that any changes can be detected early.

If the lesions are persistent, treatment for Bowenoid papulosis is the same as for genital warts. This is usually the destruction of the lesions through various medical and/or surgical procedures (see Genital Warts: Treatment). Regular checkups are needed after treatment to ensure the condition has fully resolved.