Mohs surgical treatment of a granular cell tumor on the toe of a child.

Granular cell tumors are uncommon, usually benign tumors of neural origin. They are most often diagnosed in the third to sixth decades of life and are infrequently seen in the pediatric population. Although they can be found in a wide distribution throughout the body, more than half occur in the oral cavity and other head and neck sites such as the larynx. We report a granular cell tumor on the distal toe of a 5-year-old child, removed with Mohs surgery. Review of the English language literature revealed four previously reported granular cell tumors treated with Mohs micrographic surgery, none of which was in a child.