ABSRACT:A 50-year-old man presented to hospital with non-specific symptoms such as anorexia, nausea, dehydration, weight loss, fatigue, generalized weakness, and lethargy. His Serum level of calcium was markedly increased 16.2 mg/dL (8.6-10.2 mg/dL) and parathyroid hormone (PTH) was 9.4 IU (2-11 IU), CT Abdomen was S/O leiomyosarcoma of stomach, upper GI scopy revealed growth in mid esophagus, biopsy was done and histology showed squamous cell carcinoma. Hypercalcemia was corrected and patient improved.