Mycosis fungoides (MF) is the most common cutaneous T cell lymphoma that involves the oral mucosal. The manifestation of lesions within the oralcavity generally correlates with a poor prognosis. Management of MF includes skin directed therapies and localized radiation treatment, with systemicbiologic therapies and chemotherapy used for more advanced stages. The clinical and histologic features of MF in a patient with oral disease are reviewed.