A 56-year-old man was seen with signs and symptoms consistent with orbital
cellulitis. Computed tomographic scan showed a localized bony defect in the
sphenoid wing, on which a biopsy was performed through a lateral orbitotom
y. Pathologic examination of the surgical specimen revealed mucinous adenoc
arcinoma, and metastatic workup revealed an extensive lower esophageal mali
gnant neoplasm.