Liposarcoma is one of the most common mesenchymal tumour in adults but it is rare to occur in the breast. Our
case was a 50 year old single nulliparous woman who presented with a right breast mass for one year duration.
The mass was progressively increasing in size in the last few months. Breast examination showed a huge mass
measuring 5 x 8 x 6 cm occupying the entire right breast. Mammogram showed a large homogenous soft tissue
mass occupying the entire right breast with foci of calcification. A trucut biopsy showed a cellular tumour which
was thought to be an invasive carcinoma. The patient underwent right modified radical mastectomy with
axillary clearance. Macroscopy showed a well circumscribed lobulated solid haemorrhagic yellowish tumour
mass measuring 180 x 110 x 50 mm. Microscopically the tumour was heterogenous comprising cellular round
nonlipogenic mesenchymal cells and loose myxoid areas containing small cells. The typical arborizing ‘chicken
wire’ capillaries were observed. Vacuolated lipoblasts were seen. All eleven axillary lymph nodes sampled showed
no metastasis. A diagnosis of a myxoid liposarcoma was made. To raise the suspicion of a possible mesenchymal
tumour, it is very important for clinicians to relay the clinical and radiological findings to the pathologist to avoid
misdiagnosis in a trucut biopsy.