PMC4408678_01
Hemispherical nodule in the subungual region of the right great toe
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F1
Examination revealed a 2 cm x1 cm x1 cm hemispherical firm, non-tender nodule in the subungual region with no involvement or deformity of the nail plate [Figure 1].
Fine needle aspiration smear showing benign plump oval to spindle-shaped cells in groups, sheets and cohesive clusters in a background of myxoid material and insert showing the histopathological section, confirming the cytological findings (Pap, x400)
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F2
The cells had indistinct cytoplasm and blunt oval to spindle-shaped nuclei [Figure 2].
Dermal tumor composed of spindle and stellate cells arranged in loose storiform and fascicular patterns and embedded in an abundant myxocollagenous stroma (H and E, x100)
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F3
On microscopy, there was a hyperkeratotic epidermis and a dermal tumor composed of spindle and stellate cells with random, loose storiform and fascicular patterns that were embedded in abundant myxocollagenous stroma that showed Alcian blue positivity [Figure 3].