Bowen's Disease

Bowen's Disease (BD) Fact Sheet

Bowen's Disease overview

BD usually appears as a slow-growing red, scaly patch, which is confined to the outer layer of the skin.  Long-term sun exposure plays a crucial part in its development.

Is this a skin cancer?

Yes, but it is a slow-growing lesion. A small minority of patches turn into a more aggressive type of skin cancer called SCC. This change is usually signalled by the appearance of an ulcer, or a small bump, appearing on the original patch of BD.

Is treatment successful?

Yes, treatment is usually successful. Early detection is the key.

What are the treatment options?

There are a number of ways that BD can be successfully treated. These include:

• Photodynamic therapy (PDT) -  Metvix^® treatment involves a cream that makes the affected skin cells sensitive to a particular light. The light is then beamed onto the treated area, which causes the affected cells to be selectively destroyed.
• Surgery - direct removal of the affected area(s).
• Cryotherapy - freezing the lesion with liquid nitrogen.
• Topical creams for external application which are sometimes combined with a laser.

Your healthcare professional can advise on the most suitable treatment in your case.

How can I look after my skin in future?

• Always avoid strong sunlight when possible.
• Use a sun block with a SPF of at least 30.
• Wear clothing that keeps your skin covered while out in the sun.
• Examine your skin frequently and if there are any changes make an appointment with your dermatologist or doctor.