Geriatric population often present to our outpatient departments with often vague complaints like chronic multiple joint pains, loss of weight, appetite and so on. But in rare instances they may actually be the harbingers of more serious pathologies rarely even malignancies inside. Hence the role of a thorough history and detailed meticulous clinical examination with special emphasis on general physical examination needs to be emphasized to look for subtle signs of malignancy. Also its wise to look for an etiological diagnosis in all the cases where permissible. We present one such interesting case.