eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2022-08-23 10 8 210 213 10.12691/ajmcr-10-8-9 AJMCR20221089 article Sheikhan Al Hashmi 1 Amina Al-Yaqoobi dr.aminaalyaqoobi@gmail.com 1 Hunaina Alkindi 2 Mina George 2 Zahra Alabri 2 Plastic surgery and reconstruction surgery, Khoula Hospital, Muscat, Oman Histopathology Department, Khoula Hospital, Muscat, Oman Cutaneous Atypical fibroxanthoma (AFX) typically occurs on the head and neck of sun-damaged areas in older Caucasians & it¡¯s a diagnosis by exclusion of other malignant neoplasms with similar histopathology or morphology. In this case report and literature review, we report a much less common presentation as the first case to our knowledge of AFX on a teenage female with darker skin, this lesion on the dominant hand that needed re-excision in order to get a clear margin. A high index of suspicion of this less common type in a younger patient presenting with a cutaneous nodule is to be kept in mind to minimize the number of excisions and increase patient¡¯s satisfaction. http://pubs.sciepub.com/ajmcr/10/8/9/ajmcr-10-8-9.pdf Atypical fibroxanthoma Skin neoplasms young patient