Clinical vignette: A 75-year-old female presents for excision of a subcutaneous mass a few centimeters in size, located on her lower back and slowly enlarging for few years. Gross inspection reveals a 3.7 cm well-demarcated subcutaneous tumor with hemorrhagic, tan pink to gray, glistening cut sections. Histopathological examination shows a predominantly smoothly outlined tumor with somewhat lobular architecture. It is composed of small to medium sized cells with variable cytomorphology arranged in strands, trabeculae, and cribriform nests set in an abundant myxoid stroma (Fig. 1).