Fibroepithelioma of Pinkus
Alerts and Notices
Synopsis

Other reported presentations include multiple dome-shaped papules and giant pedunculated tumors, ranging in color from nonpigmented to brown. FEP has been reported on other body areas, including the abdomen, thigh, groin, axilla, head, and plantar foot.
FEP, like BCC, is seen with increasing frequency in individuals older than 50 years. FEP occurs slightly more frequently in females.
FEP has rarely been diagnosed in childhood.
Codes
ICD10CM:C44.91 – Basal cell carcinoma of skin, unspecified
SNOMEDCT:
254703005 – Fibroepithelioma of Pinkus
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Trichoblastoma – Skin-colored papule on the face, commonly the nose, or on the upper trunk.
- Acrochordon – Pedunculated, skin-colored papule often seen in the axillae and at the base of the neck.
- Amelanotic melanoma – A melanoma largely lacking pigment; often misdiagnosed initially. Usually presents as a pink papule, nodule, or tumor.
- Compound nevus – Well-circumscribed, round, tan to brown papule.
- Pedunculated intradermal nevus
- Keloid
- Neurofibroma – Skin-colored, soft or rubbery papule or nodule.
- Seborrheic keratosis – "Stuck-on"-appearing verrucous papule that can range from skin-colored to brown.
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Management Pearls
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Therapy
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References
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Last Reviewed:02/26/2020
Last Updated:03/11/2020
Last Updated:03/11/2020