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Lung cancer during pregnancy is a rare condition associated with a poor prognosis. Gestational lung malignancy can rarely be associated with placental and fetal metastases, associated with potentially poor maternal and pediatric outcomes. Here, we present the case of a 34-year-old nulliparous woman at 37 weeks of gestation, presenting with non-small-cell Lung cancer with metastatic spread to the placenta. In addition, we report an updated review of the literature on all cases of placental metastatic lung cancer.