Male patient, 10 years old, was referred to evaluate symptomatic lesion with duration of 2 months. There were no systemic diseases. Extraoral and intraoral examinations revealed nodular soft tissue mass located in the upper gingival, between 63 and 24, covered for normal oral mucosa with ulceration area. Periapical and panoramic radiography showed smaller radiopacity of the alveolar bone around the root of 63. Diagnostic hypothesis were pyogenic granuloma and giant cells peripheral lesion. Excisional biopsies and root planning of associated teeth were performed. Histologic analysis revealed spindle-shaped cells with eosinophilic cytoplasm and elongated blunt-ended cigar-shaped nuclei to large dilated vascular channels. Masson's trichrome stain and immunohistochemistry were performed nuclear vacuole to differentiate angioleiomyoma and myofibroma. Diagnosis was angioleiomyoma. The patient developed no recurrence in the thirty months after surgical treatment. In this case, Masson's trichrome stain demonstrated to be an important method to differentiate angioleiomyoma and myofibroma. (CNPq #309322/2015-4; FAPEMIG).