Aneurysmal
benign fibrous histiocytoma is an uncommon pathologic variant of
dermatofibroma. In addition to the features of a typical
dermatofibroma, it has large cleft-like or cavernous
blood-filled spaces with numerous
hemosiderin pigments. It should be differentiated from angiomatoid
malignant fibrous histiocytoma,
malignant melanoma, and vascular
tumors such as
Kaposi's sarcoma and
angiosarcoma. Atrophic
dermatofibroma is also a rare variant of
dermatofibroma, and the combination of aneurysmal and atrophic features is rarer still. We
report a case of aneurysmal
benign fibrous histiocytoma with atrophic features in a 27-year-old
male who had a grayish-brown atrophic patchy lesion on his
back for 2 years.