Metastatic atypical fibroxanthoma of skin

A case is presented of postirradiation atypical fibroxanthoma of the skin, metastatic to cervical lymph node, in a young female. Although such skin tumors characteristically have a malignant microscopic appearance, and although they occasionally recur following surgical excision, they have previously been noted for their consistently benign clinical behavior. This is thought to be the second recorded instance of metastasis from an atypical fibroxanthoma of skin.