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Establishment of a Primary Culture of Patient-derived Soft Tissue Sarcoma
Published on: April 11, 2018
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Primary Stromal Sarcoma of Breast: A Rare Entity
Sanjay Kumar1, Jyoti Sharma1, Megha Ralli1
1Dept. of Pathology, PGIMS, Rohtak (Haryana), India.
Iranian Journal of Pathology
|October 5, 2017
Summary
Primary breast sarcomas are rare, aggressive tumors. This case highlights the importance of accurate histopathology for diagnosing these rare breast cancers, even when initial fine needle aspiration suggests carcinoma.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Primary soft tissue sarcomas of the breast are rare, accounting for <5% of soft tissue sarcomas and <1% of malignant breast cancers.
- Their rarity often leads to small retrospective studies and case reports, limiting comprehensive understanding.
- These tumors are locally aggressive, with a high recurrence rate after surgical excision.
Observation:
- A 45-year-old female presented with a large, ulcerated breast mass.
- Initial fine needle aspiration (FNA) suggested breast carcinoma.
- A modified radical mastectomy was performed.
Findings:
- Histopathology confirmed the diagnosis of primary breast stromal sarcoma, a rare entity.
- The initial diagnosis of carcinoma on FNA was revised based on definitive histopathology.
- This underscores the diagnostic challenges associated with rare breast tumors.
Implications:
- Accurate and timely histopathological diagnosis is crucial for appropriate management of rare breast malignancies.
- A multidisciplinary approach involving surgery, radiation, and chemotherapy is recommended for primary breast sarcomas.
- This case emphasizes the need for vigilance in diagnosing and treating primary breast sarcomas, despite their low incidence.

