Cutaneous leiomyosarcomas are uncommon neoplasms, accounting for 1-3% of all the soft tissue sarcomas. They encompass a variety of clinicopathological features that makes their diagnosis difficult. They are divided into various categories, as this division has an important prognostic implication. We describe a rare case of recurrent cutaneous leiomyosarcoma of the anterior abdominal wall in a 50 years old female.