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Dermatofibroma (DF) is a benign, uncommon, non-epidermal mesenchymal tumor. A DF arising in a pigmented background is rarely reported in the literature. We present the case of a 32-year-old woman with a DF. There is no recurrence or metastasis in the past 2 years. Histopathology revealed nodular subcutaneous growth composed of intersecting fascicles of spindle cells with a storiform arrangement and infiltrative pattern. The spindle cells showed varying amounts of eosinophilic and hemosiderin-laden cytoplasm, and the cytoplasmic pigmentation was highlighted by iron staining. The fascicles were partially embedded in abundant dense collagenous tissue. The immunohistochemical profiles showed tumor cells were negative for CD34, but positive for alpha-smooth muscle actin, Desmin, and CD99. Immunostaining for estrogen receptor, progesterone receptor, and S-100 protein was negative. There were no immunostaining for p16, and loss of p16 protein was confirmed by immunohistochemistry. Despite the unusual presentation, immunohistochemical and histopathologic features confirmed the diagnosis of pigmented DF. Clinical and histopathologic differential diagnosis of pigmented DF include pigmented fibrous histiocytoma, pigmented nodular syringoma, and pigmented melanoma. To our knowledge, this is the first report of a pigmented DF, in which pigmented spindle cells are not a major component of the tumor. Pigmented DF should be 0b46394aab