A 63-year-old women presented with a walnut-sized protruding tumor. It was first noticed as a small nodule 5 months ago, which was removed simply without any skin biopsy. However the wound had a delayed healing with continuous discharge and grow up into a larger nodule. At other clinic the recurred nodule was removed again. But, the tumor recurred again on the area as a larger nodule than before and she visits our hospital. The measurements of the tumor are roughly 5 cm wide and 6 cm long and 3cm height in size. It was erythema on the surface and peripheral skin, had a smooth surface with some white scales, and crusted lesions with mild discharge. She feels mild tender, but no pain. The two skin biopsies from the lesion reveals non-specific chronic granulomatous findings with various inflammatory infiltrate and wide-ranging fibro-collagenous proliferation. Staphylococcus aureus was cultured from discharge. She taken a complete surgical remove with split thickness skin graft from left posterior thigh, and local advanced flap, without any recur for 3 years follow-up.