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Leiomyomas are benign tumors of smooth muscles. Leiomyoma of the scrotum, also known as genital leiomyoma, is a rare entity. Smooth muscle tumors arising in the scrotum are a specific and rare group of cutaneous tumors. We report a case of genital leiomyoma in a 55-year-old male who presented with a scrotal nodule. The mass was excised and sent for histopathological evaluation with a provisional diagnosis of sebaceous cyst. Light microscopy and immunohistochemical findings were consistent with leiomyoma.