Bowen's disease

Also called Squamous cell carcinoma in situ or Intraepidermal carcinoma

Bowen's disease is a very early form of skin cancer found only in the outermost layer of the skin. It looks like a red, scaly patch, often on the lower legs, and grows slowly. It is easily treated, but if left alone it can occasionally develop into a squamous cell skin cancer.

Last updated Nov 9, 2026

What it is

It is mainly linked to long-term sun exposure and is most common in older adults.

Treatments include freezing, creams, light therapy (PDT) and minor surgery. Protecting the skin from the sun helps prevent new patches.

Common signs

  • A red, scaly patch that may be itchy
  • A patch that slowly gets bigger
  • Patches on sun-exposed areas, especially the lower legs

How it is usually diagnosed

  • Examination of the skin, often with a dermatoscope
  • A skin biopsy to confirm

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Biopsy reports
  • Photos of patches with dates
  • Dermatology letters and treatment notes

Questions to ask your doctor

  • Which treatment is best for this patch?
  • How do I check my skin for new patches?
  • Do I need regular skin checks?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A patch that suddenly grows, bleeds or turns into a lump needs a prompt appointment

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources