Cutaneous angioleiomyomas (ALMs) (also referred to as vascular leiomyomas or angiomyomas) are unusual benign tumors of the skin deriving from the muscle layer of dermal blood vessels. they sometimes manifest as tender subcutaneous nodules, mostly encountered on the legs of adult women in their fifth or sixth life decade. ALMs rarely develop on the head/neck area, and even more rarely (<3% of all cases) on the auricle. Head/neck (including ear) ALMs differ from their more usual leg counterparts in this they're usually painless and don't show a female predominance. The diagnosis is clinically difficult, and most cases are diagnosed by histopathologic examination. a replacement case of an auricular ALM in an exceedingly 40-year-old Caucasian man is reported herein, and a quick literature review on this unusual tumor is presented. Cutaneous angioleiomyomas (ALMs) are a subset of leiomyomas, that is, benign tumors originating from smooth muscle cells present within the skin. ALMs (also called vascular leiomyomas or angiomyomas) derive from the muscle layer of dermal blood vessels. They manifest typically as solitary, deep dermal, or subcutaneous flesh-colored, well-circumscribed nodules usually located on the lower legs of adult women [1]. they will be recognized clinically because they're usually tender/painful to pressure or perhaps spontaneously, especially after they develop on the lower limbs, but are usually misdiagnosed clinically as epidermoid cysts. In but 10% of cases, ALMs may develop on the head/neck area, and therein case they're usually painless, rendering the clinical diagnosis even tougher [2, 3]. Head/neck ALMs are reported on the nose [4], the cheek [5], the mouth [6], the bodily cavity, the surface, the upper lip, the upper eyelid [3], the inner [7] or external [8] auditory meatus, and also the ear [3, 9–22]. a replacement case of an immunohistochemically confirmed ALM located on the auricle is presented herein, together with a quick review of the relevant literature.