Our appreciation is extended to Dr. Natalia Velez-Lopez and Dr. Zully Gonzalez-Lopez, University of Antioquia in Medellin, Colombia, for contributing this case.

History: A 50-year-old man presented a painful, growing lesion on the left hypochondrium. He said it was the only lesion, and it had been there for one year. He hasn’t received treatments in the past. Clinical and microscopic images are presented.

Click images to enlarge.