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What is the difference between Bowen's disease and SCC?

Published in Skin Cancer Comparison 2 mins read

Bowen's disease is essentially a very early, pre-invasive form of squamous cell carcinoma (SCC), meaning it is a type of skin cancer that is still confined to the surface of the skin. Here's a breakdown of the key differences:

Bowen's Disease (Squamous Cell Carcinoma In Situ)

  • What it is: Also known as squamous cell carcinoma in situ, Bowen's disease is considered a very early form of SCC.
  • Location: It is located only in the epidermis, the outermost layer of the skin.
  • Nature: It's a slow-growing cancer that is considered pre-invasive, meaning it hasn't spread to deeper tissues.
  • Severity: Because it is confined to the surface, it is generally less dangerous than invasive SCC, which has the potential to spread to other parts of the body.

Squamous Cell Carcinoma (SCC)

  • What it is: SCC is an invasive type of skin cancer.
  • Location: It starts in the epidermis, but it has the ability to invade deeper layers of the skin and surrounding tissues.
  • Nature: SCC is an invasive cancer, which means it can grow rapidly and metastasize (spread) if not treated.
  • Severity: It is generally more serious than Bowen's disease due to the potential for spread.

Key Differences Summarized

Feature Bowen's Disease Squamous Cell Carcinoma (SCC)
Form Very early, pre-invasive Invasive
Location Confined to the epidermis (surface) Can invade deeper skin layers
Growth Rate Slow-growing Can be rapid, with potential to spread
Severity Generally less dangerous More dangerous due to potential spread

Based on the reference, Bowen's disease is a very early form of squamous cell skin cancer. It's also called squamous cell carcinoma in situ. It's a very slow growing cancer. Doctors call Bowen's disease pre invasive.

In Simple Terms

Think of Bowen's disease as the precursor to SCC. It's like having a "potential" for a more serious cancer. If left untreated, Bowen's disease can develop into invasive SCC, but when identified early, treatment is generally more effective.

Importance of Early Detection

Early detection of both Bowen's disease and SCC is crucial. Regular skin checks by a healthcare professional can help to identify these conditions in their early stages, leading to better treatment outcomes.