{"id":3379,"date":"2021-11-25T05:55:29","date_gmt":"2021-11-25T05:55:29","guid":{"rendered":"https:\/\/www.oferreiter.com\/?p=3379"},"modified":"2023-10-26T09:03:59","modified_gmt":"2023-10-26T09:03:59","slug":"clinical-and-dermoscopic-features-of-fibroepithelioma-of-pinkus-case-series-with-an-emphasis-on-hypopigmented-to-pink-lines-intersecting-at-acute-angles","status":"publish","type":"post","link":"https:\/\/www.oferreiter.com\/en\/clinical-and-dermoscopic-features-of-fibroepithelioma-of-pinkus-case-series-with-an-emphasis-on-hypopigmented-to-pink-lines-intersecting-at-acute-angles\/","title":{"rendered":"Clinical and dermoscopic features of Fibroepithelioma of Pinkus: case series with an emphasis on hypopigmented to pink lines intersecting at acute angles"},"content":{"rendered":"\r\n\r\nJapbani K Nanda<\/span><\/a>\u00a0<\/span>1<\/span><\/a>,\u00a0<\/span>Nadeem Marghoob<\/span><\/a>\u00a0<\/span>2<\/span><\/a>,\u00a0<\/span>Diana M Forero Cuevas<\/span><\/a>\u00a0<\/span>3<\/span><\/a>,\u00a0<\/span>Katherine R Lee<\/span><\/a>\u00a0<\/span>4<\/span><\/a>,\u00a0<\/span>Michelle Levy<\/span><\/a>\u00a0<\/span>5<\/span><\/a>,\u00a0<\/span>Ofer Reiter<\/span><\/a>\u00a0<\/span>1<\/span><\/a>\u00a0<\/span>6<\/span><\/a>,\u00a0<\/span>Klaus J Busam<\/span><\/a>\u00a0<\/span>7<\/span><\/a>,\u00a0<\/span>Ashfaq A Marghoob<\/span><\/a>\u00a0<\/span>8<\/span><\/a>\r\n\r\nAffiliations\u00a0expand<\/span>\r\n\r\nFree PMC article<\/b>\r\n

Abstract<\/span><\/h2>\r\nFibroepithelioma 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.<\/span>\r\n\r\nKeywords:\u00a0<\/b>Basal cell carcinoma; Dermoscopy; Fibroepithelioma of Pinkus; Polymorphous vessels; Shiny white lines.<\/span>\r\n\r\n \r\n\r\n\r\n\r\n\r\n
\"\"<\/figure>\r\n\r\n\r\n\r\n\r\n \r\n\r\n","protected":false},"excerpt":{"rendered":"

Japbani K Nanda\u00a01,\u00a0Nadeem Marghoob\u00a02,\u00a0Diana M Forero Cuevas\u00a03,\u00a0Katherine R Lee\u00a04,\u00a0Michelle Levy\u00a05,\u00a0Ofer Reiter\u00a01\u00a06,\u00a0Klaus J Busam\u00a07,\u00a0Ashfaq A Marghoob\u00a08 Affiliations\u00a0expand Free PMC article 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 […]<\/p>\n","protected":false},"author":1,"featured_media":2711,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3379","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-published-research"],"yoast_head":"\nClinical and dermoscopic features of Fibroepithelioma of Pinkus: case series with an emphasis on hypopigmented to pink lines intersecting at acute angles - \u05d3"\u05e8 \u05e2\u05d5\u05e4\u05e8 \u05e8\u05d9\u05d9\u05d8\u05e8 \u05d0\u05d2\u05e8<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.oferreiter.com\/en\/clinical-and-dermoscopic-features-of-fibroepithelioma-of-pinkus-case-series-with-an-emphasis-on-hypopigmented-to-pink-lines-intersecting-at-acute-angles\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clinical and dermoscopic features of Fibroepithelioma of Pinkus: case series with an emphasis on hypopigmented to pink lines intersecting at acute angles - \u05d3"\u05e8 \u05e2\u05d5\u05e4\u05e8 \u05e8\u05d9\u05d9\u05d8\u05e8 \u05d0\u05d2\u05e8\" \/>\n<meta property=\"og:description\" content=\"Japbani K Nanda\u00a01,\u00a0Nadeem Marghoob\u00a02,\u00a0Diana M Forero Cuevas\u00a03,\u00a0Katherine R Lee\u00a04,\u00a0Michelle Levy\u00a05,\u00a0Ofer Reiter\u00a01\u00a06,\u00a0Klaus J Busam\u00a07,\u00a0Ashfaq A Marghoob\u00a08 Affiliations\u00a0expand Free PMC article 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 […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.oferreiter.com\/en\/clinical-and-dermoscopic-features-of-fibroepithelioma-of-pinkus-case-series-with-an-emphasis-on-hypopigmented-to-pink-lines-intersecting-at-acute-angles\/\" \/>\n<meta property=\"og:site_name\" content=\"\u05d3"\u05e8 \u05e2\u05d5\u05e4\u05e8 \u05e8\u05d9\u05d9\u05d8\u05e8 \u05d0\u05d2\u05e8\" \/>\n<meta property=\"article:published_time\" content=\"2021-11-25T05:55:29+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-26T09:03:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.oferreiter.com\/wp-content\/uploads\/2023\/08\/44fc9a_844d2edaf1c7441993204017806939f0mv2.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"810\" \/>\n\t<meta property=\"og:image:height\" content=\"1155\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" 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