Dermoscopy patterns of fibroepithelioma of pinkus

Zalaudek, Iris, Ferrara, Gerardo, Broganelli, Paolo, Moscarella, Elvira, Mordente, Ines, Giacomel, Jason and Argenziano, Guiseppe (2006) Dermoscopy patterns of fibroepithelioma of pinkus. Archives of Dermatology, 142 10: 1318-1322. doi:10.1001/archderm.142.10.1318

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Author Zalaudek, Iris
Ferrara, Gerardo
Broganelli, Paolo
Moscarella, Elvira
Mordente, Ines
Giacomel, Jason
Argenziano, Guiseppe
Title Dermoscopy patterns of fibroepithelioma of pinkus
Journal name Archives of Dermatology   Check publisher's open access policy
ISSN 0003-987X
1538-3652
Publication date 2006-10-01
Year available 2005
Sub-type Article (original research)
DOI 10.1001/archderm.142.10.1318
Open Access Status File (Publisher version)
Volume 142
Issue 10
Start page 1318
End page 1322
Total pages 5
Place of publication Chicago, IL, United States
Publisher American Medical Association
Language eng
Subject 110304 Dermatology
Formatted abstract
Background Fibroepithelioma of Pinkus (FeP) is a rare variant of basal cell carcinoma that may clinically mimic a number of benign skin tumors. While the dermoscopic features of basal cell carcinoma have been studied extensively, little is known about the dermoscopic features of FeP.

Observations
Retrospective evaluation of clinical records and digital clinical dermoscopic images of 10 histopathologically proved FePs (6 nonpigmented and 4 pigmented) was performed. Clinically, no FeP was correctly identified and, in half of all patients, a clinical differential diagnosis of purely benign skin lesions was made. Dermoscopy enabled the correct diagnosis in 9 of 10 FePs, based on the presence of fine arborizing vessels, either alone or associated with dotted vessels, and white streaks (in 100%, 70%, and 90% of lesions, respectively). In the 4 pigmented FePs, a structureless gray-brown area of pigmentation and variable numbers of gray-blue dots were observed, in addition.

Conclusions Dermoscopy is helpful in diagnosing FeP and in differentiating this variant of basal cell carcinoma from other benign skin tumors commonly included in the clinical differential diagnosis. This presumes, however, that dermoscopy is used as a first-line examination for all skin lesions, not only for those that are clinically suspect.


Keyword Dermatology
Dermatology
DERMATOLOGY
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Tue, 07 Apr 2009, 18:55:01 EST by Maryanne Watson on behalf of School of Medicine