Zygomycosis is a rare opportunistic fungal infection caused by fungi in the phylum Mucoromycota, subphylum
Mucoromycotina and order Mucorales. Immunocompromised patients may harbour the disease by inhalation
of the spores from the environment into the paranasal sinuses. Rhino-orbital-cerebral is the most common
form which extends into the oral cavity, especially to the palate. We present twelve cases of zygomycosis
diagnosed in the Stomatology Unit, Institute for Medical Research (IMR), Malaysia. Most of the patients are
immunocompromised and presented as the rhino-orbital-cerebral form. Routine haematoxylin and eosin
(H&E) staining were used for all cases while selected cases required additional special staining. The
characteristic histological features of broad, non-septate, branched, amphophilic fungal hyphae are seen. We
aim to report this rare occurrence to contribute to the literature and raise awareness about this condition
among clinicians. To date, this is the first compilation of oral zygomycosis cases known to be reported in
Malaysia.