Dermal nerve sheath myxoma is a rare tumor with a predilection for the
upper extremity, head, neck, and shoulder. It usually arises during c
hildhood or early adult life. We present a case of a young woman who h
as this type of myxoid tumor of the hallux. To preserve viability of t
he hallux, debulking of the tumor was performed rather than complete m
arginal excision. This case and a literature review suggest that this
tumor may be satisfactorily managed with debulking or marginal resecti
on. Histology and pathology of dermal nerve sheath myxoma are reviewed
.