Other differentials include clear cell tumors with melanocytic differentiation and MITF gene rearrangement [10], amelanotic cellular blue nevus, Spitz tumors, paraganglioma-like dermal melanocytic tumors (a heterogenous category that contains many of the above entities, and possibly PEComas (perivascular epithelioid cell tumor)), nerve sheath tumors, myoepithelial tumors, and soft tissue tumors with fibroblastic/fibrohistiocytic or myoid differentiation [11]. The gene discussed is MITF; the disease is nerve sheath neoplasm.