Abstract
A 72-year-old woman presented to the plastic surgery outpatient department with a nodular lesion to her shin. This nodule had increased in size, but was slow growing. The patient had a history of sun-damaged skin. On visual examination, the lesion was thought to be a naevus or basal cell carcinoma. The nodule was excised. Histologically, the lesion was classified as a primary cutaneous myxoid spindle cell squamous cell carcinoma. Currently, there is only one other paper that describes this rare skin cancer. As a result of the histological findings, the lesion margin was further excised. The wound failed to heal as expected due to the patient developing a methicillin-resistant Staphylococcus aureus infection. She is currently being closely monitored due to the unknown pathway the carcinoma may take.