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Primary angiosarcoma of the breast is a rare neoplasm arising from stromal tissues and accounting for only 0.04% of primary breast tumours1 Atypical clinical presentations and equivocal radiological findings make the diagnosis challenging. Diagnosis by aspiration cytology is difficult. Therefore, macrobiopsy and ultrastructural examination with immunostaining will confirm the diagnosis3. It carries a poor prognosis due to rapid growth and haematogenous spread4. Surgical extirpation remains the main mode of treatment and adjuvant chemo and immunotherapy are beneficial in some cases1. We present a case which was managed with surgery.

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