Giant schwannoma of the medial plantar nerve

•Presenting features and clinical findings.•Gold standard investigation as per regional sarcoma centre.•Ultrasound scan ± biopsy, MRI findings.•Histological appearance of schwannoma.•NICE guidance on sarcoma referral.

In this article the authors present an exceptionally rare case of giant schwannoma of the foot in a 23 year old male. This article demonstrates the key principles of investigation and management of such cases as conducted by a regional sarcoma centre.