ボーエン病の1特異例

A PECULIAR CASE OF BOWEN'S DISEASE

I．緒　言

　左上腹部に，24歳という若年において発病した定型的ボーエン病を有し，一方，胸腹，大腿，一部は頸，背にわたつて，一見老人性疣贅様の，極めて多数の小皮疹を随伴した症例を経験したが，その組織学的検索の結果，これら小皮疹がボーエン病の初期像ないし前駆疹ではなかろうかと考えられ，即ち換言すれば，本例は将来いわゆる多発性ボーエン病になる可能性を有するものではないかと思われたので，興味ある特異な例としてここに報告したい。

A 27-year-old woman, first appeared in our clinic on Aug. 20, 1963, complaining of an itchy eruption of the abdomen of 3 years' du-ration. Examination revealed a typical lesion of Bowen' s disease,16×25mm., on the left up per abdomen and in addition,approximately 260 small verruca-senilis-like papules, ranging in size from a sand to a matchhead, on the neck, trunk and thighs. Histological findings of the papules were shown analogous to those of the peripheral portion of the main lesion which was totally excised by means of rotation flap technique. It was postulated that this case has potency to develop into multiple Bowen's disease.