• Muhammad Danish Muneeb and Mirza Agha Naushad Baig.
• Department of General Surgery, Baqai Medical University, Karachi, Pakistan.
• J Coll Physicians Surg Pak. 2019 Dec 1; 29 (12): S138-S140.

AbstractExtraskeletal osteosarcoma is a rarely identified variety of sarcomas throughout the world, which is still a dilemma for the surgeons' community with respect to its diagnosis and treatment. It is slow-growing in nature, and attains a huge size usually at presentation, which puts the clinician in jeopardy with regard to its management. Our case is the first of its variety documented in Pakistan. A 70-year male patient presented with a 19 cm mass at the back, as a recurrent tumor. We did the excisional biopsy of the mass, followed by complete removal with intact margins. Histopathology revealed extraskeletal osteosarcoma as the final diagnosis. We suggest that this tumor should be included in the differential diagnosis of all large, recurrent soft tissue masses in the body.

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