Clinical ImageCLINICAL IMAGE Painful and exophytic tumor on the thigh Milie M. Fang, DO; Kevin P. White, MD; and Alex G. Ortega-Loayza, MD, MCR Notes and Affiliations Notes and Affiliations Received: July 10, 2025 Accepted: October 7, 2025 Published: October 24, 2025 Milie M. Fang, DO, Department of Dermatology, 548372 Oregon Health & Science University , Portland, OR, USA Kevin P. White, MD, Department of Dermatology, 548372 Oregon Health & Science University , Portland, OR, USA Alex G. Ortega-Loayza, MD, MCR, Department of Dermatology, 548372 Oregon Health & Science University , Portland, OR, USA https://doi.org/10.1515/jom-2025-0097