IJCEMR

Article http://dx.doi.org/10.26855/ijcemr.2026.01.013

Dermoscopic Features of Bowen’s Disease and Their Diagnostic Value: A Clinical Observational Study

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Li Tang^1,2, Yuqing Wu¹, Hongjian Shi³, Xianwei Cao^4,*

¹Department of Dermatological Imaging, Dermatology Hospital of Jiangxi Province, Jiangxi Provincial Clinical Research Center for Skin Diseases, Nanchang 330000, Jiangxi, China.

²Jiangxi Medical College of Nanchang University, Nanchang 330000, Jiangxi, China.

³Hospital of Jiangxi Provincial Corps, Chinese People's Armed Police Force, Nanchang 330000, Jiangxi, China.

⁴Department of Dermatology, The First Affiliated Hospital of Nanchang University, Nanchang 330000, Jiangxi, China.

*Corresponding author: Xianwei Cao

Published: January 25,2026

Abstract

Objective: To systematically analyze the dermoscopic features of Bowen’s disease (BD) and explore their differences across various anatomical sites and their diagnostic value. Methods: We prospectively collected data from patients with histopathologically confirmed BD between January 2024 and August 2025. Dermoscopic images were recorded, and the prevalence of features such as background erythema, keratinization characteristics, vascular patterns, and pigmentation patterns were analyzed. The dermoscopic presentations of BD on the head/face were compared with those on the trunk/limbs. Results: A total of 65 BD lesions were included. The most common dermoscopic features were back-ground erythema (91.0%), yellow-white/keratotic scales (89.0%), irregular linear/serpentine vessels (74.0%), and glomerular vessels (74.0%). Follicular-related features (e.g., perifollicular white halo, follicular keratotic plugs) were observed in head/facial BD, whereas glomerular vessels, dots/globular vessels, and clustered brown structureless areas were significantly more common in trunk/limbs BD (P < 0.001). Conclusion: BD presents with relatively characteristic dermoscopic patterns that vary depending on the lesion site. Dermoscopy serves as a valuable non-invasive tool in the diagnosis and differential diagnosis of BD.

Keywords

Bowen’s disease; Dermoscopy; Squamous cell carcinoma in situ

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How to cite this paper

Dermoscopic Features of Bowen’s Disease and Their Diagnostic Value: A Clinical Observational Study

How to cite this paper: Li Tang, Yuqing Wu, Hongjian Shi, Xianwei Cao. (2026) Dermoscopic Features of Bowen’s Disease and Their Diagnostic Value: A Clinical Observational Study. International Journal of Clinical and Experimental Medicine Research, 10(1), 63-68.

DOI: http://dx.doi.org/10.26855/ijcemr.2026.01.013