Colorectal cancers commonly metastasize to the liver and the lung; it is distinctly unusual for these cancers to metastasize to the skeletal system. The typical locations of skeletal metastases from colorectal cancer are the vertebrae and pelvis. Sternal metastasis from a rectal cancer primary is exceedingly rare, and to the best of our knowledge, there are only two prior case reports in literature. The presence of distant metastases usually portends a poor prognosis, however with continuous improvements in multimodality management, the survival rates of metastatic colorectal cancers has considerably improved. We present an interesting case of a 71‑year‑old man who underwent a complete metastatectomy for a metachronous
sternal metastasis from a locally advanced rectal cancer and discuss its clinical presentation and management implications with a brief review of literature.