Occult breast carcinoma presenting with unilateral orbital and cutaneous metastases in a hypothyroid patient

Although, breast carcinoma is a known cause of orbital metastases, these usually present after diagnosing the primary breast carcinoma. We present a case of a 55 year old female who presented with ptosis due to retro-orbital deposits as the first manifestation of an occult lobular carcinoma of breast. This case highlights the importance of knowing unusual manifestations of common malignancies. As she was also diagnosed of having chronic thyroiditis and hypothyroidism, it adds on to the association between benign thyroid diseases and breast carcinoma.