Abstract :
One of the uncommon mesenchymal lesions of the breast is primary leiomyosarcoma. Only a few cases have been documented globally.
For a year, a 35 years old female patient had a lump in her right breast. A 14.0 x 12.5 x 5.0 cm mass in the right breast was discovered during the clinical examination; lymphadenopathy was absent. A breast imaging reporting and data system category 3 lesion was discovered by ultrasonography, with the differential diagnosis of Giant fibroadenoma and Phyllodes tumour. Following which, surgical excision was done. Histopathological and immunohistochemical analysis revealed the mass to be primary leiomyosarcoma of the breast. After stabilizing, the patient was sent to the Radiation Oncology Department for additional care.
It might be challenging to make a definitive diagnosis of breast mesenchymal tumours because they can resemble many entities both clinically and radiologically. In these uncommon situations, histopathological analysis supported by immunohistochemical research is crucial to making a final diagnosis.
Keyword :
Breast sarcoma, Primary leiomyosarcoma, Immunohistochemistry analysis.