The observed staining pattern may indicate that DFSP derives from a subtype of nestin-immunoreactive mesenchymal stem cell that is different from the nestin- and SOX2-positive cell population of the perifollicular mesenchyme. Alternatively, nestin expression in DFSP may represent a recapitulation of the staining pattern in early embryogenesis without necessarily indicating that the nestin-positive cells represent stem cells. Also, DFSP may derive from hair follicle-associated mesenchymal stem cells that have lost their SOX2 expression.