September 22, 2009

Case of the Week up at PathXchange

BY Dr. Keith J. Kaplan
This week PathXchange (Px) is showcasing the "Fibroepithelioma of pinkus in a 9-year-old boy" by Dr. Deba Sarma as the "Px Case of the Week". 
 
Abstract:

Fibroepithelioma of Pinkus (FEP) is a rare indolent variety of basal cell carcinoma that is typically polypoid and located on the trunk of adult males aged 40–60 years. Basal cell carcinoma (including FEP) is very rare in the pediatric population.
Case Presentation:

A 9-year-old boy presented with a 6.0-mm polypoid erythematous nodule with ulceration on his left chest. An excisional biopsy was done. Histologically, the tumor revealed several foci of superficial basal cell carcinoma along the epidermis. In the dermis, the tumor was composed of basaloid epithelial anastomosing cords that were separated by fibrovascular stroma connected to the overlying epidermis.
The histopathological features were that of a fibroepithelioma of Pinkus. The lesion was completely removed with clear biopsy margin. The patient is being followed for any possible local recurrence.
 
Fibroepithelioma of
pinkus in a 9-year-old boy
 

Px Case of the Week is a program that allows Px members to send rare and interesting cases that they would like to showcase to the best advantage of the community. All entries made to this program are reviewed by the Px Case Editorial Board members. The case that gets selected as the "Px Case of the Week" is published every Monday and is rewarded*!
 
All entries are requested to be submitted by Friday every week.
 
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