Palisaded myofibroblastoma (PM) is a rare, benign nodal neoplasm of putative myofibroblastic derivation. Most cases of PM involve deep inguinal lymph nodes, but rare reports have described PM arising in submandibular or cervical lymph nodes. Patients with PM have ranged from 19 to 78 years of age, but the majority are in the fourth or fifth decade of life. These tumors occur most often in men, with a male to female ratio of approximately 2–1. Patients often present with a slow-growing unilateral inguinal mass. Excision is generally curative, although rare cases have been reported to recur locally and eventually be cured by re-excision.