Breast carcinoma metastasis to the orbit and paranasal sinuses: a case report

This is the case of a 34 years old female patient, with known history of disseminated, invasive, ductal adenocarcinoma, grade II, of the left breast, who presented with two distinct localizations of metastasis affecting the orbits. One in the right orbit and a second one in the frontal sinuses, the latter infiltrating the cognate ethmoid, exerting pressure on the inner wall of the left orbit. We present the symptoms, the ophthalmic signs and the imaging techniques that aided the localization of these metastasis, while literature review shows that such combination is rare.