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CPT James M. Scherbenske, MC; Iris H. Kopeloff; CPT George Turiansky, MC; COL Purnima Sau, MC

Arch Dermatol. 1990;126(7):958a-958b.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 60-year-old man presented for evaluation of a skin lesion on his chest. The lesion was asymptomatic and was of unknown duration.

Physical examination revealed a single, nontender, flesh-colored nodule above the right nipple (Fig 1).

A shave biopsy was performed and a representative section is shown in Fig 2.

HISTOPATHOLOGIC FINDINGS

The biopsy specimen contained long, thin, branching, anastomosing, epithelial strands embedded in a fibrous stroma. Small buds were seen projecting from the epithelial strands, with many of the strands showing connections to the surface epidermis.

What is your diagnosis?

DIAGNOSIS:

Fibroepithelioma of Pinkus.

DISCUSSION

Fibroepithelioma of Pinkus is thought to be a variant of basal cell carcinoma. Pinkus¹ identified this entity in 1953 when he described a "peculiar fibroepithelial tumor" occurring in 4 of 900 cases of basal cell carcinoma. He stressed that these tumors did "not constitute a new entity," but rather "an unusual variety of . . . [Full Text PDF of this Article]

Author Affiliations
USA; USA; USA; Walter Reed Army Medical Center, Washington, DC (Drs Scherbenske, Turiansky, and Sau), and Mount Sinai School of Medicine, New York, NY (Ms Kopeloff)

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