We present a case of alveolar soft parr sarcoma (ASPS) of the pectoris
major muscle in a 20-year-old female. She felt a mass in her right !i
de breast for 7 years. The lesion was almost the same size with occasi
onal throbbing pain and tenderness. Fine needle aspiration of the tumo
r was performed in the OPD and suspicious abnormal cells were reported
. Ultrasound (US) examination of the breast revealed a large heterogen
eously hypoechoic lesion contiguous to the pectoris major muscle. Prof
ound color flow signals were evident in both central and peripheral re
gions of the mass. Spectral Doppler US showed high flow velocity in th
e tumor vessels with resistivity index of 0.73. Surgical intervention
was performed and the histologic examination yielded a diagnosis of AS
PS. Copyright (C) 1997 Elsevier Science Ireland Ltd.