Vol. 6, Issue 1, Part B (2024)

A 17-year-old female with no notable past medical history presented with a mass on the plantar surface of her right foot, initially misdiagnosed and treated as a plantar wart. Following multiple failed excisional procedures, a biopsy confirmed epithelioid sarcoma, 9 years after its first appearance. This case emphasizes the critical importance of thorough diagnostic workups for reoccurring masses, particularly for rare malignancies such as an epithelioid sarcoma. Certain factors such as an atypical demographic presentation, improper patient advocacy, confirmation bias, and insufficient diagnostic methods appear to have played a role in the delay of this diagnosis. An early and accurate diagnosis is imperative in improving outcomes and preventing the complications associated with delayed treatment.