A 40-year-old woman presented to clinic for evaluation of multiple “skin growths” on her face, hands and gums that had increased in number over the past 10 years. Her past medical history was remarkable for invasive ductal carcinoma of the left breast, multiple colon polyps, a benign thyroid nodule and uterine fibroids. Classic phenotypic features of this disease include all of the following features except:

A. Lipomas

B. Macrocephaly

C. Trichoepitheliomas

D. Sclerotic fibromas

E. Hemangiomas

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