We report a case of giant trichoblastoma, a rare benign hair germ tumor. A
73-year-old man presented with a soft-tissue mass on his upper arm. Magneti
c resonance imaging analysis revealed an unique mosaic pattern on T2-weight
ed images. Needle biopsy disclosed a keratinizing tumor suggesting squamous
cell carcinoma. The size of the tumor was 9.5 x 7 x 9.5 cm, one of the lar
gest trichoblastomas ever reported. The rarity and gigantic size of the tum
or, together with its misleading clinical features, prompted us to report o
ur case.