An unusual case of oral leiomyoma mimicking a gingival epulis

Introduction: Leiomyoma, the commonest benign tumor of the uterus is a rare occurrence in the oral cavity and when present mimics various other soft tissue tumors of the oral cavity and lead to a diagnostic dilemma to the clinician. Objective and case report: The low incidence of this lesion, the unusual location, and its histomorphological pattern of presentation which needs to be differentiated from other spindle cell lesions posing a diagnostic challenge makes the report of this case worthy in a 32-year-old male, with a soft tissue swelling of the right lower gingiva which appeared to be an epulis but finally turned out to be a leiomyoma. Conclusion: Histopathology is the only means by which a diagnosis can be arrived at and at times might require special stains for a definitive diagnosis.