A 65-year-old woman presented with a three-month history of foot numbness associated with pain for nearly one month. Her gait and lower limb neurological examination were normal except for hypesthesia under the left knee joint. Computed tomography (CT) of the lumbar spine revealed pedicular erosion of L2-L5 vertebral bodies and enlargement of left L3-L5 intervertebral foramina [Figure 1]. Magnetic resonance imaging (MRI) of the lumbar spine revealed a large inordinate neoplasm occupying both intra-and extra-spinal spaces at L2-S1 with downward extension into the pelvic cavity. Tumor extended out through the neural foraminae at L3-L5 [Figure 2a].
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