Case Presentation: A 40-year-old male was admitted to the local hospital. Presented with recurrent huge left elbow swelling associated with reduce mobility in affected area, fatigability, malaise and increase progressively. By examination was fixed to the muscle, not tender and stretched skin. Complete investigation was within normal. CT scan showing recurrent Lt elbow sarcoma, the current CECT of CAP and no pulmonary, hepatic or osseus deposits. Wide Local Excisional done, elliptical incision with complete excision of the mass was done with distal scarification of the radial nerve; because it was involved inside the tumor. The mass sent to the histopathology and showing microscopically spindle cells neoplasm composition of fusiform spindle cells with atypia having in district borders arranged haphazardly in short, iII defined fascicles with infrequent mitosis. The patient received adjuvant chemotherapy and radiotherapy. The patient was followed every 6 months.

Conclusion: Soft tissue sarcoma is requiring the best expertise with appropriate treatment, without appropriate treatment or resources; that may lead to consequences like metastasis or recurrence that causing significant problems to the patient, so regular follow-up after treatment almost important to avoid significant complications.