Vol 8, No 1 (2022)
Case report
Published online: 2022-04-01

open access

Page views 4940
Article views/downloads 40
Get Citation

Connect on Social Media

Connect on Social Media

Fibroepithelioma of Pinkus — a dermoscopic mimicker of melanoma

Magdalena Żychowska1, Elżbieta Ostańska2, Adam Reich1
Forum Dermatologicum 2022;8(1):40-42.


Fibroepithelioma of Pinkus (FeP) is an uncommon variant of basal cell carcinoma (BCC) that usually presents as a solitary, well-demarcated tumor or plaque, predominantly located on the trunk. It is characterized by indolent course and surgical excision is the treatment of choice. Both pigmented and non-pigmented variants of FeP may display dermoscopic features suggestive of malignant melanoma. In the paper, a case of FeP is presented, and the dermoscopic findings in this entity are discussed.

Article available in PDF format

View PDF Download PDF file


  1. PINKUS H. Premalignant fibroepithelial tumors of skin. AMA Arch Derm Syphilol. 1953; 67(6): 598–615.
  2. Zalaudek I, Leinweber B, Ferrara G, et al. Dermoscopy of fibroepithelioma of pinkus. J Am Acad Dermatol. 2005; 52(1): 168–169.
  3. Lupu M, Clatici VG, Barinova E, et al. Fibroepithelioma of Pinkus: Dermoscopic and reflectance confocal microscopic patterns. Dermatol Ther. 2021; 34(2): e14831.
  4. Su MW, Fromer E, Fung MA. Fibroepithelioma of pinkus. Dermatol Online J. 2006; 12(5): 2.
  5. Nanda JK, Marghoob N, Forero Cuevas DM, et al. Clinical and dermoscopic features of Fibroepithelioma of Pinkus: case series with an emphasis on hypopigmented to pink lines intersecting at acute angles. Arch Dermatol Res. 2021; 313(8): 633–640.
  6. Kim JYS, Kozlow JH, Mittal B, et al. Work Group, Invited Reviewers. Guidelines of care for the management of basal cell carcinoma. J Am Acad Dermatol. 2018; 78(3): 540–559.
  7. Peris K, Fargnoli MC, Garbe C, et al. European Dermatology Forum (EDF), the European Association of Dermato-Oncology (EADO) and the European Organization for Research and Treatment of Cancer (EORTC). Diagnosis and treatment of basal cell carcinoma: European consensus-based interdisciplinary guidelines. Eur J Cancer. 2019; 118: 10–34.
  8. Rutkowski P, Owczarek W, Nejc D, et al. Skin carcinomas. Oncol Clin Pract. 2020; 16(4): 143–162.
  9. Inskip M, Longo C, Haddad A. Two adjacent individual fibroepithelioma of Pinkus of the umbilicus-one pink, one pigmented-a case report and review of the literature. Dermatol Pract Concept. 2016; 6(2): 17–20.
  10. Akay BN, Kirmizi A, Demirdag HG, et al. Heavily pigmented fibroepithelioma of Pinkus mimicking melanoma. Int J Dermatol. 2018; 57(6): 753–754.
  11. Gómez-Martín I, Moreno S, Pujol RM, et al. Pigmented fibroepithelioma of Pinkus: A potential dermoscopic simulator of malignant melanoma. J Dermatol. 2017; 44(5): 542–543.
  12. Reggiani C, Zalaudek I, Piana S, et al. Fibroepithelioma of Pinkus: case reports and review of the literature. Dermatology. 2013; 226(3): 207–211.