A 55-year-old woman presented with a left vulvar nodule.Ultrasonography shows a 1×1×0.5-cm, ill-defined, nodular lesion (arrows) in the subcutaneous layer with mixed echogenicity comprising an echogenic hypocellular myxoid stroma interspersed with irregular hypoechoic areas of hypercellularity. Excisional biopsy confirmed angiomyofibroblastoma.