<i>ALK</i> rearrangements are rarely documented in superficial soft tissue neoplasms exhibiting an infantile fibrosarcoma-like spindle cell tumor (IFS) pattern or stromal, resembling Neurotrophic Tyrosine Kinase Receptor(<i>NTRK</i>)rearranged spindle cell tumors. Here, ALK is linked to spindle cell neoplasm.