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Amputation of the lower leg was already scheduled in the University Clinic of Heidelberg, as the tumour tissue had already reached the periosteum. After successful ECT, the patient is still playing golf today. On both legs.
"Histological findings: Loss of epidermal zoning. Atypical keralinocytes with enlarged, irregular formed cores on the whole eptithel. Partly multicore cells. Mitoses and dyskeratosis.
Diagnosis: Morbus Bowen (carcinoma spinocellulare in situ), (ICD-O M8081/2, ICD-10 D04.9)"