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Surgery
A 65-year-old light-complexioned male presents with a solitary scaly plaque like lesion on his forearm present for many years. The lesion is 0.5 cm in diameter. Shave biopsy reveals intraepithelial squamous cell carcinoma. (Bowen's disease) incompletely excised. Further treatment includes:
Wide excision of the lesions and sentinel node biopsy
Referral for local radiation therapy
Excision and repair of this area, ensuring clear surgical margins
No further treatment indicated
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