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Because the granular cells are usually strongly reactive with S\u2010100 stain, conventional granular cell tumors (GCTs) are regarded as those of neural or Schwann cell origin. Unlike GCTs, NNGCT is not reactive for S\u2010100 protein and is thought to derive elsewhere, presumably from mesenchymal stem cells. A 20\u2010year\u2010old woman presented with a solitary, dermatofibroma\u2010like, brownish nodule on her right arm. The lesion developed 3\u2009months before presentation without subjective symptoms. Histopathologic examination revealed a grenz zone overlying a poorly circumscribed tumor extending through the reticular dermis. The tumor cells were large and polygonal, and they had numerous eosinophilic small granules in the cytoplasm. Immunohistochemical stains were positive for CD68, vimentin, factor XIIIa, CD10, and cyclin D1. Stains for S\u2010100 protein, neuron\u2010specific enolase, and CD34 were negative. 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