Sister Mary.Joseph's nodule is an inconspicuous and uncommon clinical sign of advanced malignant disease,especially gastric cancer.Pregnancy-associated gastric cancer is an extremely rare condition and can be difficult to diagnose,due to the absence or misinterpretation of symptoms as pregnancy-related.Diagnostic aids,such as a basic chernisJTy panel and imaging techniques,may not show any abnonnalities.We present a case of a 37-yearold pregnant patient whose umbilical nodule was the first preserfdng physical sign of gastric cancer,which had metastasized throughout the abdominal and pelvic regions.