Bone metastases in the hand and foot bone (acrometastases) are rarely observed. The authors report two new cases. The first case is chiefly interesting because of its multifocal appearance and its particularly rare origin (oesophagus). The second case is remarkable as it is the initial expression of a lung neoplasm. They propose a review of the literature on this subject and emphasize the origin, the mechanisms of spread the prognosis and treatment of this disease. The difficulty of the diagnosis is also stressed.