Diagnostic duplicity of spindle cell sarcoma: Stitch in time saves nine

Abstract

The prime cause of low backache with radiculopathy is prolapsed intervertebral disc, but in conditions where the radiology and scans of the lumbosacral spine are insignificant and the symptoms are progressive, it can be a tumor involving the sciatic nerve. Here, we present a case of a 26-year-old female managed conservatively for her low backache with radiculopathy which ultimately turned out to be an undifferentiated malignant nerve sheath tumor of the sciatic nerve. It is one of the largest nerve sheath tumors reported in the literature. Combined transabdominal and Kocher–Langenbeck approaches were used to resect the tumor. Histopathology confirmed the diagnosis of the undifferentiated malignant nerve sheath tumor. Through this case report, we emphasize to screen the pelvis early if symptoms of sciatica are progressive along with insignificant scans of the spine.