[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 34.204.173.45. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
September 1942

BOWEN'S DISEASE AND SUPERFICIAL MUCOSAL EPITHELIOMA OF UPPER RESPIRATORY AND ALIMENTARY TRACTS

Author Affiliations

NEW YORK
From the Departments of Otolaryngology and Surgical Pathology, Columbia University College of Physicians and Surgeons, and the Department of Otolaryngology, Presbyterian Hospital.

Arch Otolaryngol. 1942;36(3):354-371. doi:10.1001/archotol.1942.03760030050004
Abstract

Bowen's1 "precancerous dermatosis" is still considered by some authors as a precancerous dyskeratotic process but is regarded by the majority as a highly specialized form of superficial squamous cell epithelioma with lateral intraepithelial spread.

The histologic characteristics of Bowen's disease of the skin were stated by Stout2 as follows:

The epidermal layer is thickened and sometimes made papillary by a multiplication and disorientation of the Malpighian cells. The cells vary in size and shape, there are many mitoses, and some of them are... abnormal. Monster cells with several nuclei centrally clumped together were originally described by Bowen.

Darier3 coined the term poikilokarynosis to describe these changes. Furthermore, foam cells (Kreibich4) with vacuolated cytoplasm, isolated cell nests within the epithelium (Grzybowski5) and cells with a clear vacuole partly or completely surrounding the nucleus (corps ronds, Darier) are sometimes observed. Intracellular fibrils are usually lost, but intercellular

×