Department of Pathology, Shri Guru Ram Rai Institute of medical and health sciences, Dehradun.

Department of Pathology, Shri Guru Ram Rai Institute of medical and health sciences, Dehradun.

Angiomatoid fibrous histiocytoma (AFH) is basically mesenchymal neoplasm with an incidence of 0.3%, only indicating its rarity amongst the soft tissue neoplasms. It commonly occurs first twenty years of life, though its occurrence has been documented across all age groups with no gender predilection. The tumor usually arises in the extremities, in the upper layer soft tissues in the head, neck and sometimes trunk regions. The present study deals with a unique case of a 58-year-old female who presented with a steadily increasing and uncomfortable lump in the posterior triangle of the neck. The initial clinical impression suggested cervical lymphadenitis. The unusual age and anatomical location make this case noteworthy. AFH should be considered in the differential diagnosis of persistent soft tissue lesions in all age groups, even though it is uncommon in older people.