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In endemic country like India, psoas abscess is commonly associated with dorsolumbar tuberculosis. A 56-year-old HIV-negative female treated case of carcinoma of cervix presented to rural hospital with psoas abscess like lesion and vertebral involvement. Patient was managed as tuberculosis of lumbar spine. Patient presented to us after 1 year with progressive neurodefecit and huge psoas abscess. USG-guided FNAC of psoas abscess revealed squamous malignant cell. This was recurrence of the operated FIGO stage 1b carcinoma of cervix, presenting as metastasis to lumbar spine and psoas muscle. We report a rare case of cervical carcinoma in HIV-negative women presenting as lumbar vertebra involvement and psoas abscess like metastasis initially managed as tuberculosis of spine. This case report also highlights possible errors that could be made in such rare cases.
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