Interactive Case Study - December 2020

Question 1:

A 72-year-old female presented with a 4.0 cm linear cluster of flesh-colored papules on the left upper back (Figure 1). The lesions have been present since childhood and remained largely asymptomatic with slight increase in size and number over time. A biopsy was performed (Figures 2A-E).

Click the image below to view the virtual slide.


Figure 1.


Figure 2A.


Figure 2B.


Figure 2C.


Figure 2D.


Figure 2E.


 
Which of the following is the most likely diagnosis?

A.  Basaloid follicular hamartoma

B.  Epidermal nevus

C.  Fibroepithelioma of Pinkus

D.  Infundibulocystic basal cell carcinoma

E.  Multiple familial trichoepithelioma