Perineuriomas are rare benign peripheral nerve sheath tumors that can present in a variety of locations with varying histologic patterns, most commonly in young to middle-aged adults; they are particularly rare in the pediatric population. Perineuriomas have a distinctive constellation of morphologic, immunohistochemical, and ultrastructural characteristics that allows for distinction from other benign peripheral nerve sheath tumors. We present 2 cases of perineuriomas that arose as cutaneous lesions in children.