Congratulations to the winner of our August quiz, Natalja Denisjuk, MD, Kempf and Pfaltz Histological Diagnostics, Zürich, Switzerland. The correct answer to our August challenge was myxoid cutaneous pleomorphic fibroma. For a complete discussion of this case, see the Off-Center Fold section in the September Archives (McCoppin HH, Wieberg J, Dyer JA, Feldman M. Dome-shaped papule on the posterior shoulder. Arch Dermatol. 2010;146:1037-1042).