Abstract :
Primary sarcoma of the breast comprises less than 1% of all the breast malignancies. It is a locally
aggressive neoplasm with only a few hundred cases published till date. The index case is being reported due
to rarity of this entity. Breast sarcoma should always be considered whenever spindle cells are seen in the
histological sections. The main diagnostic confusion arises with malignant phyllodes tumor and metaplastic
carcinoma from which distinction is important from prognosis as well as treatment point of view. Herein, we
report a case of a 47-yr-old female, who presented with a right-sided breast lump which was diagnosed as
suspicious of carcinoma breast on fine needle aspiration (FNAC). Thereafter, modified radical mastectomy
was performed, and on histopathology, a possibility of fibro-histiocytic tumor of intermediate malignancy
was rendered, which was subsequently confirmed by immunohistochemistry (IHC).
Keyword :
Sarcoma, Mastectomy, Immunohistochemistry.