Spindle cell carcinoma, which is a rare variant of squamous cell carcinoma, has propensity to occur in the upper aero digestive tract and also the oral mucosa. We report the occurrence of this neoplasm in the right mandibular alveolus as a large exophytic growth with destruction of bone in a 74–year–old male patient where surgical resection with comprehensive neck dissection was performed. The patient on follow up is disease free with no morbidity. Spindle cell carcinoma is an uncommon tumour of uncertain histogenesis that typically arises as a biphasic polypoid tumor. Diagnosis and treatment is challenging due to its overlapping and varied features