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Interventional study Enrolling
Inclusion criteria: Military beneficiaries with histologically proven Bowens disease, located on the head and neck, defined as any area superior to the clavicle and anterior to the posterior triangle of the neck
Exclusion Criteria:
Previous treatment of biopsied lesion Recurrent lesions from previous biopsy-proven Bowen's disease
Patients younger than 18 years of age
Pregnancy
Immunosuppression, including HIV, transplant patients on immune suppressive medications, cancer patients on chemotherapy, and hematologic malignancies (e.g., lymphoma, leukemia)
Mucous membrane involvement
Lesions larger than 2 cm
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Imiquimod | Drug | Imiquimod application M-F for six weeks (total of 30 applications) followed by surgical excision of site |
|
| Measure | Description | Time Frame |
|---|---|---|
| histologic clearance of Bowens disease in treated versus placebo group | 14 weeks |
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Inclusion Criteria:
Histologic diagnosis of Bowen's disease (squamous cell carcinoma in situ), defined as full-thickness keratinocyte atypia and architectural disorder limited to the epidermis, with or without involvement of the follicular unit
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nicole M Owens, MD | Brooke Army Medical Center Department of Dermatology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brooke Army Medical Center Department of Dermatology | Fort Sam Houston | Texas | 78234 | United States |
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| ID | Term |
|---|---|
| D001913 | Bowen's Disease |
| ID | Term |
|---|---|
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D000077271 | Imiquimod |
| ID | Term |
|---|---|
| D000634 | Aminoquinolines |
| D011804 | Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| D009369 | Neoplasms |
| D018307 | Neoplasms, Squamous Cell |
| D006571 | Heterocyclic Compounds |