case_images: PMC8491708_01
case_images: Clinical appearance of a solid rubbery nodular tumor on the right foot arch, before the initial surgical excision.
case_images: ICRP_A_1986049_F0001_C.jpg
case_images: PMC8491708_01_ICRP_A_1986049_F0001_C.jpg
case_images: F0001
case_images: According to the history, this skin lesion was present since birth as a macroscopically solid, asymptomatic and painless nodule that slowly increased in size, measuring -before excision- about 0.8 mm in diameter (Figure 1).
case_images: Histologic features: elongated neoplastic cells arranged in interconnected fascicles with a plexiform pattern (A). Ovoid and round neoplastic cells intermixed with osteoclast-like giant cells and hemosiderin deposition (B). (A: hematoxylin-eosin, x100, B: hematoxylin-eosin, x200)
case_images: ICRP_A_1986049_F0002_C.jpg
case_images: PMC8491708_01_ICRP_A_1986049_F0002_C.jpg
case_images: F0002
case_images: These cells were arranged in clusters along with a few osteoclast-like giant cells and hemosiderin deposition (Figure 2).
case_images: Preoperative view and design of the excision with 2 cm margins (A). Early postoperative result after skin graft coverage of the defect (B).
case_images: ICRP_A_1986049_F0003_C.jpg
case_images: PMC8491708_01_ICRP_A_1986049_F0003_C.jpg
case_images: F0003
case_images: The immediate postoperative period and wound healing of both operated areas on the foot and the donor site was uneventful (Figure 3).
case_images: Long-term postoperative view of the operated area 52 months after the wide excision and skin grafting.
case_images: ICRP_A_1986049_F0004_C.jpg
case_images: PMC8491708_01_ICRP_A_1986049_F0004_C.jpg
case_images: F0004
case_images: On 52 months' follow-up, there was no evidence of local recurrence, regional lymphadenopathy or distant metastases (Figure 4).