location. Initial diagnosis is often misleading6,13. Only few cases involving spine5 are reported in literature, most of which have distant metastasis at

presentation. This is a case of a 34 year old lady with abdominal lump, low backache and weakness of both lower limbs since last 2 years.

Neurological examination showed decreased power in bilateral lower limbs. MRI of spine revealed a soft tissue tumor arising from lumbar spine

causing extradural compression and having a large retroperitoneal component. Initially, resection of the tumor was done followed by

histopathology which suggested a benign tumor. Soon, the growth reappeared alongwith neurological deficit. Then, immunohistochemistry review

of the previous slides revealed epithelioid sarcoma of the spine. Whole body 18F–FDG PET/MRI revealed a bulky metabolically active recurrent

mass in the previously operated bed with compression of nerve roots and no distant metastasis. The authors have thus reported a rare case of

recurrent epithelioid sarcoma of lumbar spine and its clinical course along with immunohistochemical and imaging findings.