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Nanda JK, Marghoob N, Forero Cuevas DM, Lee KR, Levy M, Reiter O, Busam KJ, Marghoob AA. Clinical and dermoscopic features of Fibroepithelioma of Pinkus: case series with an emphasis on hypopigmented to pink lines intersecting at acute angles. Arch Dermatol Res 2020; 313:633-640. [PMID: 32978676 DOI: 10.1007/s00403-020-02142-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 09/08/2020] [Accepted: 09/12/2020] [Indexed: 11/27/2022]
Abstract
Fibroepithelioma of Pinkus (FEP) is a subtype of basal cell carcinoma (BCC) that can clinically resemble intradermal nevi (IDN) and fibromas. We performed a retrospective review of consecutively biopsied lesions confirmed to be FEP on histopathology diagnosed from January 1, 2008 to April 8, 2019. Clinical (n = 48), contact non-polarized dermoscopy (NPD) (n = 44), and contact polarized dermoscopy (PD) (n = 22) images from 36 patients were reviewed. Mean age was 64.5 years (SD 15.1 years, range 24-86 years) at diagnosis of first FEP lesion. Most lesions were located on the torso (n = 28, 58.3%), followed by the lower extremity (n = 9, 18.8%). The most common differential diagnoses at the time of biopsy included BCC (n = 40) and nevus (other than IDN, n = 5). Clinically, FEP were pink (95.8%), scaly (66.7%) papules (77.1%) displaying disrupted skin markings (62.5%) and absence of hair follicles (87.5%). NPD revealed serpentine (97.7%), dotted (81.8%), or polymorphous vessels (86.4%), and hypopigmented to pink lines intersecting at acute angles (HPLA) (52.3%). PD demonstrated serpentine (95.5%), dotted (86.4%), or polymorphous vessels (81.8%), shiny white lines (50.0%), and HPLA (59.1%). Classic features of BCC such as arborizing vessels (n = 2), ulceration (n = 1), shiny white blotches and strands (n = 1), blue-gray ovoid nest (n = 1), and leaf-like areas (n = 1) were uncommon. FEP often presents as scaly, erythematous papules with disrupted skin markings and absence of hair follicles. Dermoscopy reveals polymorphous vessels with shiny white lines and HPLA.
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Affiliation(s)
- Japbani K Nanda
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Nadeem Marghoob
- New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA
| | | | - Katherine R Lee
- Department of Dermatology, Stony Brook University, Stony Brook, NY, USA
| | | | - Ofer Reiter
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Klaus J Busam
- Dermatopathology Service, Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Ashfaq A Marghoob
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
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Cuenca-Barrales C, Ruiz-Carrascosa J, Ruiz-Villaverde R. Fibroepithelioma of Pinkus: A Basal Cell Carcinoma With Distinctive Dermoscopic Features. ACTAS DERMO-SIFILIOGRAFICAS 2018. [DOI: 10.1016/j.adengl.2018.10.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Cuenca-Barrales C, Ruiz-Carrascosa JC, Ruiz-Villaverde R. Fibroepithelioma of Pinkus: A Basal Cell Carcinoma With Distinctive Dermoscopic Features. ACTAS DERMO-SIFILIOGRAFICAS 2018; 109:908-909. [PMID: 30119825 DOI: 10.1016/j.ad.2018.01.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 12/14/2017] [Accepted: 01/06/2018] [Indexed: 11/18/2022] Open
Affiliation(s)
- C Cuenca-Barrales
- Unidad de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Campus de la Salud de Granada, Granada, España
| | - J C Ruiz-Carrascosa
- Unidad de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Campus de la Salud de Granada, Granada, España
| | - R Ruiz-Villaverde
- Unidad de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Campus de la Salud de Granada, Granada, España.
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Akay BN, Kirmizi A, Demirdag HG, Erdem C, Okcu Heper A. Heavily pigmented fibroepithelioma of Pinkus mimicking melanoma. Int J Dermatol 2018; 57:753-754. [PMID: 29637996 DOI: 10.1111/ijd.13993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Accepted: 03/17/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Bengu N Akay
- Department of Dermatology, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Ayca Kirmizi
- Department of Pathology, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Hatice G Demirdag
- Department of Dermatology, Ankara Oncology Training and Research Hospital, Ankara, Turkey
| | - Cengizhan Erdem
- Department of Dermatology, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Aylin Okcu Heper
- Department of Pathology, Faculty of Medicine, Ankara University, Ankara, Turkey
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Huet P, Barnéon G, Cribier B. Tumeur fibroépithéliale de Pinkus : corrélation dermatopathologie-dermatoscopie. Ann Dermatol Venereol 2017; 144:818-822. [DOI: 10.1016/j.annder.2017.08.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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