This is also known as squamous cell carcinoma in situ and is generally treated by dermatologists. Cases may be referred for radiotherapy when non-responsive areas become troublesome to the patient and are associated with thickening, pain and bleeding. Guidelines from the British Dermatology Association suggest that Bowens disease of the lower limb does not have to be treated and can be observed.

Dose

Treated as a squamous cell carcinoma to a dose of 45 Gy in 10# over 2 weeks.

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