This is an article reporting a case of granular cell tumor in the left breast in a 58 year old lady. Patient presented with a 3 × 3 cm mass in the left breast. Mammography reported a BIRADS 5 lesion in the left breast. With a clinical and radiological diagnosis of malignancy, patient was sent for FNAC (Fine needle aspiration Cytology). The cytology report was granular cell tumor. Following this patient underwent wide excision of the mass. Histopathology confirmed the cytological diagnosis of granular cell tumor of the breast. Patient is on regular follow up and is presently free of disease. The case report is followed up by a brief review of literature of granular cell tumor of the breast.Keywords Granular cell tumor . Breast . Excision Case ReportA 58 year old multiparous post menopausal lady presented with a history of lump in left breast since the past 3 months. Patient was initially evaluated in a local hospital. FNAC from the left breast lesion done outside was reported as lobular carcinoma of the breast. With this report patient was referred to our centre. On examination patient was ECOG 0. General and systemic examination of the patient was normal. On examination the left breast revealed a well defined firm lump measuring 3 × 3 cm in the upper inner quadrant without skin or chest wall fixity. No axillary or supraclavicular lymphadenopathy was present. Right breast and axilla were normal. Mammography revealed an irregular BIRADS 5 lesion in the left breast and normal right breast (Fig. 1). The patient underwent FNAC at our centre. The cytology smears showed clusters of cells with moderate to abundant granular eosinophilic cytoplasm and bland vesicular nucleus (Fig. 2) and the cytological diagnosis was granular cell tumor. As our pathologist is very experienced and in keeping with the local protocol we proceeded with a wide excision and frozen section on

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