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Zofia Tynski, Albert J. Barrett and Way Chiang
An epithelioid sarcoma (ES) is an infrequent mesenchymal malignancy most commonly encountered in adolescents and young adults in the distal extremities. It has a proclivity for the flexor aspects of the hands and feet with male predilection observed at a ratio of 2:1. The indolent presentation, seemingly unremarkable histopathology, and low incidence of this disease can lead to misdiagnosis. We report a case of a twenty-year old female who presented to her primary care physician with chief complaint of a painful lump beneath her right second and third toes. The tumor was subsequently excised with diagnosis of epithelioid sarcoma.