Bowen tus kab mob yog tus yam ntxwv los ntawm kev loj hlob ntawm ib los yog ntau tshaj ntawm daim tawv nqaij lesions. Cov no tshwm sim raws li scaly thaj ua rau thaj, tsis xwm yeem thiab liab mus rau xim av xim. Ob peb txoj kev kho mob tuaj yeem txiav txim siab nyob ntawm qhov xwm txheej.

Kev txhais ntawm Bowen's disease

Bowen tus kab mob yog ib daim ntawv thaj chaw ntawm cutaneous squamous cell carcinoma. Nws kuj tseem nthuav tawm yooj yim dua li kev mob qog noj ntshav hauv lub epidermal. Raws li kev ceeb toom, lub epidermis yog txheej txheej ntawm daim tawv nqaij.

Bowen tus kab mob yog tus cwj pwm los ntawm cov tsos mob ntawm daim tawv nqaij precancerous. Cov kab mob no tsis yog nrog rau lwm yam kev kuaj mob. Lawv tshwm sim raws li scaly thaj ua rau thaj nrog cov txheej txheem tsis tu ncua thiab xim liab-xim av.

Feem ntau ntau, qhov txhab kis tau maj mam. Kev tswj kom tsim nyog pab tiv thaiv lawv txoj kev loj hlob thiab txwv tsis pub muaj teeb meem. Txawm hais tias nws tsis tshua muaj, muaj kev pheej hmoo ntawm kev mob qog noj ntshav ntawm daim tawv nqaij lossis kab mob squamous cell carcinoma. Qhov kev pheej hmoo no kwv yees li ntawm 3%.

Ua rau Bowen tus kab mob

Raws li nrog ntau cov qog, Bowen tus kab mob muaj keeb kwm uas tseem tsis tau nkag siab txog niaj hnub no. Txawm li cas los xij, kev tshawb fawb tau txheeb xyuas qee qhov kev pheej hmoo uas yuav pab kom nkag siab zoo txog kev txhim kho Bowen tus kab mob.

Bowen tus kab mob muaj feem cuam tshuam

Cov yam tseem ceeb uas raug txheeb xyuas txog niaj hnub no yog:

• hnub ci irradiation vim raug ntau dhau ntawm lub hnub;
• lom nrog arsenic tebchaw;
• human papillomavirus (HPV) kab mob;
• immunodépression.

Cov neeg cuam tshuam los ntawm Bowen tus kab mob

Bowen tus kab mob feem ntau raug kuaj pom hauv cov neeg muaj hnub nyoog 60 xyoo, thiab tshwj xeeb tshaj yog nyob rau hauv lawv XNUMXs. Zoo li tus kab mob no feem ntau cuam tshuam rau cov poj niam.

Bowen's maladie kuaj mob

Ib qho kev kuaj mob qhia tau hais tias qhov luaj li cas ntawm qhov txhab. Kev kuaj mob ntawm Bowen's tus kab mob yuav tsum tau kuaj ntshav biopsy, tshem tawm cov ntaub so ntswg rau kev tsom xam.

Daim tawv nqaij mob

Bowen tus kab mob yog tus cwj pwm los ntawm cov tsos mob ntawm daim tawv nqaij. Txawm hais tias cov no tuaj yeem tshwm sim ntawm txhua qhov chaw ntawm lub cev, lawv feem ntau tshwm sim ntawm qhov chaw ntawm lub cev raug tshav ntuj.

Cov kab mob ntawm daim tawv nqaij muaj cov yam ntxwv hauv qab no:

• scaly tsos;
• irregular contours;
• feem ntau muaj ntau cov plaques;
• xim liab rau xim av
• muaj peev xwm ntawm evolution rau crusts.

Cov tsos mob ntawm cov kab mob no yuav zoo li thaj tsam ntawm eczema, psoriasis, lossis kab mob ntawm daim tawv nqaij. Yog li kev kuaj mob kom meej yog qhov tseem ceeb.

Tej zaum qhov txhab ntawm cov mucous membranes

Nws tau pom tias cov kab mob tuaj yeem tshwm sim ntawm qee qhov mucous membranes, tshwj xeeb tshaj yog ntawm qhov chaw mos thiab lub caj pas.

Mucosal lesions tuaj yeem yog:

• xim;
• erythroplastic, nrog rau qhov pom ntawm qhov txawv txav ntawm thaj chaw liab lossis cov pob liab liab;
• leukoplakic, nrog rau kev tsim ntawm ib qho txawv txav xim dawb.

Muaj peev xwm ntawm cov ntsia hlau

Kev puas tsuaj rau cov rau tes kuj tuaj yeem tshwm sim. Cov no yog manifested los ntawm localized longitudinal erythronychia, uas yog, ib tug liab band nyob ib ncig ntawm tus ntsia thawv.

Kev tswj hwm ntawm Bowen tus kab mob cuam tshuam nrog tshem tawm cov kab mob cuam tshuam. Rau qhov no, ntau txoj kev tuaj yeem txiav txim siab nyob ntawm qhov xwm txheej. Piv txwv li:

• tshuaj pleev ib ce nrog kev siv cov tshuaj tiv thaiv kab mob hauv daim ntawv ntawm cream, tshuaj pleev lossis tshuaj pleev;
• electrodesiccation nrog kev siv hluav taws xob tam sim no tshem tawm cov tawv nqaij tshwj xeeb;
• phais excision uas yuav tshem tawm cov ntaub so ntswg precancerous;
• cryosurgery, los yog cryoablation, uas siv txias kom khov thiab ua kom puas hlwb txawv txav.

Nws tau lees paub tias kev raug ultraviolet (UV) rays yog qhov tseem ceeb ntawm kev pheej hmoo rau mob qog noj ntshav. Tias yog vim li cas nws raug pom zoo kom:

• txwv kev tshav ntuj los ntawm kev nyiam thaj chaw ntxoov ntxoo, txo qis kev ua si sab nraum zoov thaum lub sijhawm kub kub (txij li 10 teev sawv ntxov txog 16 teev tsaus ntuj) thiab txwv kev tshav ntuj;
• siv cov khaub ncaws tiv thaiv kom haum thaum tshav ntuj tsis tuaj yeem zam xws li lub tsho ntev, ris, kaus mom dav dav thiab looj tsom iav dub;
• siv cov tshuaj pleev thaiv hnub nrog qhov ntsuas ntawm kev tiv thaiv UVA / UVB ntau dua lossis sib npaug ntawm 30, thiab rov ua nws daim ntawv thov txhua 2 teev, tom qab ua luam dej lossis thaum tawm hws ntau dhau;
• tsis txhob siv lub rooj muag khoom tanning.