Peripheral Primitive Neuroectodermal Tumors (pPNET) are rare malignant tumors characterized by small round cells of neuroectodermal origin. They usually occur between the age of 6-25 years, mostly in soft tissues or bones and belong to the Ewing Sarcoma Family of Tumors (ESFT). We report an unusual case of pPNET of the upper extremity in a 24-year-old male. The purpose of reporting this case is it being a rare diagnosis which demands early detection and treatment as the presence or absence of metastasis is the most significant prognostic factor.