DOI: https://doi.org/10.36347/sjmcr.2026.v14i02.003

Pages: 191-193

Background: Atypical lipomatous tumors (ALTs), low-grade liposarcomas, present a diagnostic challenge in primary care. Their rarity and non-specific presentation can lead to a delayed diagnosis. Case Presentation: A man in his 50s with a history of a gunshot wound on his left thigh presented to the primary care with a seven-month history of a painful, enlarging mass. Initial ultrasonography revealed a large, deep-seated mass, prompting urgent referral. Subsequent Magnetic Resonance Imaging (MRI) and biopsy confirmed a 16.3 cm ALT. Outcomes: The patient underwent successful surgical resection. Postoperatively, he experienced mild temperature spikes, which were treated with antibiotics. At the final follow-up at approximately 18 months post-surgery, the patient remained disease-free and was discharged from specialist care. Relevance: This case highlights the importance of maintaining a high index of suspicion for sarcoma in patients with a growing soft-tissue mass, even with a history of trauma. This underscores the critical role of primary care in recognizing red-flag symptoms and adhering to urgent referral pathways.