“…Granular cell tumors generally present as single lesions, but the presence of multiple lesions should raise the suspicion for syndromes with which they are associated, such as Noonan syndrome, neurofibromatosis type I, and LEOPARD syndrome (Lentigines, Electrocardiographic conduction defects, Ocular hypertelorism, Pulmonary stenosis, Abnormalities of the genitalia, Retarded (slowed) growth, Deafness) [ 1 , 5 ]. While the majority of cases are benign, 1% to 2% of cases behave malignantly.…”