Background: Alveolar soft part sarcoma (ASPS) is a rare, distinctive soft tissue sarcoma, typically occurring in young people. In children, a substantial percentage of cases occur in the head and neck, often in the orbit or tongue. Although it displays a relatively indolent clinical course, the ultimate prognosis is poor with late metastases. Aims and Objectives: Review of literature to give an insight into the current knowledge about this enigmatic tumor, in terms of genetic and diagnostic aspects. Materials and Methods: Clinical, radiological, and morphological features of two cases, an 8-year-old female with tongue lesion and a 14-year-old female with orbital lesion are described. Immunohistochemistry (IHC) with a panel of antibodies was performed. Results: Clinical presentation and microscopic features were remarkable in two young females, one in the tongue and another in the orbit and similar to other case reports. The use of TFE3 for IHC established the diagnosis. Conclusion: Alveolar soft-part sarcoma remains an enigma clinically. ASPS should be considered in the differential diagnosis of pediatric head and neck masses with a solid morphology.