This case report describes an ossifying tumor in the left musculus ere
ctor spinae in a 32-year-old man. Radiologically it showed irregular l
amellar bone formation in the periphery, demonstrating as juxtacortica
l and macroscopically sarcomalike features. Histologic it was diagnose
d as an ossifying fibromyxoid tumor of soft parts (OFTSP). The CT feat
ures of this tumor have never previously been reported. This is the fi
rst time pulmonary metastases, malignant pleural effusion, and death o
f the patient directly related with an OFTSP have been described.