O/E: 1 cm nodule without any diagnostic features.
The lesion was shave-excised and the base cauterized. Pathology showed a nodular dermal lesion comprised of fibromyxoid stroma with stellate to spindle-shaped fibroblasts and traversed by prominent vascular channels. (Photomicrographs 2x, 4x, 10x, 20x, 40x)
Discussion: This is a rare lesion. I am not sure if the diagnosis could have been made prior to pathology. Most of these lesions are periungual This one was not. This case is being presented for interest since little is known about this kind of lesion.