Angioleiomyomas are subcutaneous benign tumors composed of numerous blood vessels with disoriented and hyperplasic smooth muscle layers. The incidence in female is higher than in male, with a ratio of 1.7 to 1.0. They are usually located at the lower extremities and rarely located at head and neck region. The case we report is a 66-year old male patient. The chief complaint was a brownish tumor over helix of left auricle with progressive enlargement noted for three years. Physical examination revealed an elastic, non-tender nodular lesion 15 x 15 x 6 mm in size and ovoid in shape. No other similar lesion was found on his face, neck and extremities. The tumor was excised entirely with clear margins. The diagnosis was angioleiomyoma via histology.