Cutaneous metastasis as a first sign of breast carcinoma.

Unlike visceral, lymphonodal or bone metastases, skin metastases are rare and their identification portends of a bad prognosis. They may appear as the first sign revealing the primary tumour, synchronous or developing late in the course of neglected primary cancer. We report a case of 86 year-old women witch belongs to this rare group of patients in whom cutaneous metastasis were identified before the primary cancer. This case showed the interest of biopsy and imaging in the confirmation of the diagnosis.

A rare cause of exophthalmia: Osteoblastoma of the frontal sinus.

Osteoblastoma is a rare benign tumor arising predominantly in the vertebrae or long tubular bones. Its naso-sinusian origin is rare and can be responsible for ophthalmological complications [1]. We report the case of 19-yeaold patient admitted to the Ophthalmology department for progressive right exophthalmia and ptosis evolving over 8 months. The diagnosis of osteoblastoma was suspected on CT and MRI imaging and then confirmed by the anatomopatological studies. Total surgical excision was performed. Clinical and radiological evolution has been favorable.