Brachytherapy for Bowen's disease of the palm by Ting-Yu Tsai in Journal of Clinical Case Reports MedicaI Images and Health Sciences
Brachytherapy for Bowen's disease of the palm by Ting-Yu Tsai in J ournal of Clinical Case Reports MedicaI Images and Health Sciences INTRODUCTION Bowen's disease, or squamous cell carcinoma (SCC) in situ , has been regarded as a cutaneous marker for internal malignancy. The most common option is surgical removal. Surgery is usually indicated for smaller lesions. However, Bowen’s disease occurs more often in elderly patients (with a higher risk of comorbidities) and is frequently located on body sites with poor wound healing. Therefore, there is a need for non-invasive but effective treatment options. Case report A 70-year-old patient with an ulcer and lump on her hand visited Liou Ying Chi Mei Hospital in September 2020 . The patient was unable to open her hand due to dermal inflammatory infiltrates. A biopsy confirmed nodular SCC. She was evaluated jointly by a radiation oncologist and a surgical oncologist. Considering the large lesion size, cosmetic and reconstruc...