A woman in her 50s presented to the clinic for initial evaluation of a soft, flesh-colored, eroded, exophytic mass arising within a soft plaque in the inguinal region (Figure, A). The lesion had been growing for approximately 6 months, and was described as being sore but otherwise asymptomatic. The patient had no other pertinent medical problems and reported no prior skin conditions with the exception of a “bump” in the area of the mass that had resolved several months prior to development of the lesion seen in the Figure, A. A biopsy was performed, and histopathologic examination of the mass is shown in the Figure, B and C.