Abstract: To describe the relationship between survival rate and tumor characteristics in patients with non - small cell lung cancer (NSCLC) with rib metastasis. Methods: Data from 13 NSCLC patients in our hospital with osseous metastasis were retrospectively reviewed. Results: The median survival of the cases was 14 months (4- 38 months) while the 1- year survival rate was 54%. The survival time of the patients with solitary metastasis of the ribs was significantly longer compared to patients with multiple costal metastasis and metastasis at other sites. No correlation was found between the survival time and tumor histology, primary tumor volume or lymph node involvement. Conclusion: It is suggested that NSCLC patients with solitary rib metastasis that are physically eligible be treated with total resection of the primary tumor and lymph nodes.