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To the best of our knowledge, this is the first case report in the literature of postauricular leiomyosarcoma in a young adolescent with long-term followup.

Overall features were suggestive of leiomyosarcoma. However, the peripheral resected margins were found to be involved by tumor.

Contrast enhanced computed tomography (CECT) revealed no bony involvement of mastoid cortex.

Responses to this week’s Photo Challenge are all going to be on a Tiny scale.

As those who will have viewed that previous post will know, we made and planted it for an exhibition earlier this year.

Also, this is the first case report in young adolescent and second only of the post auricular region.

Leiomyosarcoma constitutes a rare group of malignant tumor of the mesenchymal origin constituting 6% of all soft tissue sarcoma.

About 3% to 10% of all leiomyosarcoma are found in head and neck region [1].

Leiomyosarcoma of the ear is further rarer site in the category of head and neck region.

There was no history of ear discharge, ear pain, ear bleeding, or impairment of hearing.

Patient had undergone local excision of swelling twice at local hospital within 1-month interval.

The origin of tumor is proposed to be from smooth muscle present in walls of blood vessels and the erector pili musculature of skin [1, 2].