Most skeletal malignancies are found to be metastatic rather than primary tumors. The skeleton is a common metastatic site for visceral carcinomas and the lungs, prostate and the breast are the most frequent primary sources. Solitary bone metastasis as the first sign of gastric carcinoma is a very infrequent finding. We report a rare case of a 61-year-old patient having a gastric carcinoma with a solitary bone metastasis as the first evidence of the malignancy.

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