Non-neural granular cell tumour (PNNGCT) is a rare mesenchymal neoplasm of unknown lineage with prominent cytoplasmic granularity [1]. These tumors are more common in children and young adults, and commonly involve the back and extremities. A panel of immunostains is important to rule out other differential diagnoses. In contrast to conventional granular cell tumor (GCT), NNGCT lacks S100 expression, hence, NKI-C3 and anaplastic lymphoma kinase (ALK) stains can be particularly helpful in confirming the diagnosis. In addition, an underlying ALK gene rearrangement has been reported in a small subset of cases [2]. In general, most of these tumors appear to behave in a benign fashion, and conservative management is recommended. Our results demonstrate that NNGCT harbour ALK fusions, which suggests that NNGCT are molecularly diverse, and further substantiate NNGCT as distinct from GCT [3].