{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:27Z","timestamp":1786649787552,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:p>\n                    Fibroepithelioma of Pinkus (FEP) is a rare, indolent variant of basal cell carcinoma (BCC) with a unique anastomosing type of epidermal hyperplasia. Certain benign and neoplastic conditions including BCC are known to develop in a setting of chronic lymphedema. We report for the 1\n                    <jats:sup>st<\/jats:sup>\n                    time the histological spectrum of evolution of a large exophytic multinodular FEP, bearing a single initiating focus of BCC, in preexisting chronic lymphedema of the lower limb. The lesion possibly evolved from long-standing local immune suppression, and clinically resembled a high-grade carcinoma. Oozing lymphatic fluid may interfere with the success of skin grafting following wide local excision in a lymphedematous limb, thus offering a challenging scenario from the management point of view.\n                  <\/jats:p>","DOI":"10.4103\/0973-1482.220454","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T13:01:02Z","timestamp":1767790862000},"page":"1038-1041","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Multinodular fibroepithelioma of Pinkus with an isolated focus of evolving basal cell carcinoma in chronic lymphedematous lower limb"],"prefix":"10.4103","volume":"13","author":[{"given":"Kaushik","family":"Majumdar","sequence":"first","affiliation":[{"name":"Department of Pathology, G.B. Pant Institute of Medical Education and Research, Jawaharlal Nehru Marg, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ujjawal","family":"Khurana","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinesh","family":"Asati","sequence":"additional","affiliation":[{"name":"Department of Dermatology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garima","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepti","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelkamal","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260109","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1067\/mjd.2002.120909","article-title":"Lymphedema: An immunologically vulnerable site for development of neoplasms","volume":"47","author":"Ruocco","year":"2002","journal-title":"J Am Acad Dermatol"},{"key":"R2-20260109","first-page":"293","article-title":"Malignant tumors as complications of lymphedema","volume":"18","author":"Peyron","year":"1993","journal-title":"J Mal 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Med"},{"key":"R9-20260109","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1001\/archderm.142.10.1318","article-title":"Dermoscopy patterns of fibroepithelioma of Pinkus","volume":"142","author":"Zalaudek","year":"2006","journal-title":"Arch Dermatol"},{"key":"R10-20260109","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/01.dad.0000245201.59762.d2","article-title":"Expression of androgen receptor by fibroepithelioma of Pinkus: Evidence supporting classification as a basal cell carcinoma variant?","volume":"29","author":"Katona","year":"2007","journal-title":"Am J Dermatopathol"}],"container-title":["Journal of Cancer Research and 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