Metastatic breast carcinoma has been described at numerous sites in the head and neck region. Here, we report a case of a 56 year old female patient with invasive ductal carcinoma metastasizing to the nasopharynx. The patient presented initially with liver metastasis followed by metastasis to the nasopharynx. This is the second documented and first proved case of metastatic breast carcinoma to the nasopharynx.