Supraclavicular Atypical Lipomatous Tumour: Lesson Learnt

Sarcomas are malignant mesenchymal neoplasms that comprise less than 1% of all malignancies diagnosed annually in all body sites; a number far surpassed by epithelial-derived carcinomas. Of the soft tissue sarcomas, liposarcoma, derived from adipose tissue, accounts for approximately 17% to 30% of all soft tissue sarcomas and is considered one of the most common soft tissue sarcomas in adults. Head and neck liposarcoma are markedly less common than those in other body sites, comprising only 2% to 9% of sarcomas. We herein report the case of a 62-year-old male with a two year history of a right supraclavicular mass, which turned out to be liposarcoma and its further management. A missed step in the algorithm of head and neck swelling management that is fine needle aspiration cytology (FNAC) precipitated a less than ideal management in this case.