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A Slowly Enlarging Lesion on the Abdomen
Victoria M. Yates, MB, FRCP;
Richard J. Prescott, MRC, (Path)
Blackburn Royal Infirmary, Blackburn, England
Arch Dermatol. 1998;134:861-866.
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REPORT OF A CASE
A 65-year-old man presented with 2 slowly enlarging skin lesions on his abdomen (Figure 1). The upper, darkly pigmented, warty lesion was diagnosed as a typical seborrheic keratosis and removed by curet and cautery. The lower, pearly pink, slightly warty lesion was excised, and the specimen was stained with hematoxylin-eosin (Figure 2).
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Figure 1.
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Figure 2.
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What is your diagnosis?
DIAGNOSIS: Fibroepithelioma of Pinkus.
There were long, thin, branching strands of basiloid cells arising from the epidermis, embedded in a prominent fibrous stroma demonstrating a complicated lacelike reticular pattern.
The fibroepithelioma of Pinkus,1 which was first described in 1953, is a relatively uncommon tumor that is usually located on the abdomen or loins. It normally has a sessile dome-shaped surface and ranges in color from flesh to pink or brown. It is more indolent than the classic basal cell carcinoma . . . [Full Text of this Article]
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