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Delays in breast cancer diagnosis are associated with negative clinical effects. The main causes are protocol violations, clinical errors, radiological errors, pathological errors and patient fault. Although rare, breast lump that is clinically benign, but has undergone rapid growth should alert the clinician of the possibility of underlying sarcoma. We report a case of a 42-year-old female patient with breast sarcoma who developed recurrence of sarcoma along with ipsilateral pleural effusion. Owing to rarity of the disease and controversies involved in the management, there is no protocol for management of these patients.
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