Objective: Spindle cell type variant of cutaneous follicular lymphoma is a rare histologic variant of primary cutaneous follicular lymphomas. It is caracterised by the presence of spindle and bizarr cells. We present a case of a 25 years old man who had a nodule on his scalp and two smaller nodules on his frontal region. We examined an excisional biopsy specimen of the forehead. Method: HE, Stains all and Immunohistochemical stains were used. Results: Histology revealed dense lymphoid infiltrate showing nodular pattern in the dermis and in the subcutis. The lymphoid infiltrate predominantly composed of large centrocytes. There were areas where the neoplastic cells show spindle cell morphology with bizarre nuclei and in these areas the stroma were myxoid, mucinous. With immunohistocemical stains the neoplastic cells were positive for CD20, Bcl-6, and negative for CD5, CD10, vimentin, CD34, S100, actin, desmin, AE1/AE3. CD21 showed residual network of follicular dendritic cells in the background. Conclusion: Spindle cell lymphoma is a very rare variant of cutaneous follicle centre cell lymphoma and the presence of the spindled bizarre cells can cause differential diagnostic problems. The main differential diagnostic entities are primary or metastatic spindle cell sarcoma and spindle cell melanoma. Careful morphological and immunohistochemical analysis are required to the correct diagnosis.