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Copyright © 2000 American Medical Association. All rights reserved. From: Adenocarcinoma of the Esophagus Presenting as Orbital Cellulitis Arch Ophthalmol. 2000;118(7):986-988. doi:10-1001/pubs.Ophthalmol.-ISSN-0003-9950-118-7-ecp90061 Figure Legend: Top, Axial orbital computed tomographic scan shows an osteolytic lesion (arrow) noted in the greater wing of the sphenoid and indenting the dura of the middle cranial fossa. The dura and the periorbitum are also noted to enhance with contrast. Bottom, Clinical appearance of the patient demonstrating marked conjunctival chemosis and hyperemia of the right eye. Date of download: 10/23/2017 Copyright © 2000 American Medical Association. All rights reserved.

Copyright © 2000 American Medical Association. All rights reserved. From: Adenocarcinoma of the Esophagus Presenting as Orbital Cellulitis Arch Ophthalmol. 2000;118(7):986-988. doi:10-1001/pubs.Ophthalmol.-ISSN-0003-9950-118-7-ecp90061 Figure Legend: Top, Surgical specimen shows fragments of bone (arrowheads) and fibrous connective tissue. Some areas had cytologically atypical epithelial cells, often with intracytolasmic vacuoles consistent with an adenocarcinoma (arrows)(hematoxylin-eosin, original magnification ×400). Bottom, Malignant cells within fibrous connective tissue showed intracytoplasmic vacuolization. Stain indicated mucin production (alcian blue, original magnification ×400). Date of download: 10/23/2017 Copyright © 2000 American Medical Association. All rights reserved.

Copyright © 2000 American Medical Association. All rights reserved. From: Adenocarcinoma of the Esophagus Presenting as Orbital Cellulitis Arch Ophthalmol. 2000;118(7):986-988. doi:10-1001/pubs.Ophthalmol.-ISSN-0003-9950-118-7-ecp90061 Figure Legend: Upper gastrointestinal tract series. Barium swallow technique reveals a characteristic "apple core" appearance of a gastrointestinal tract malignancy in the lower esophagus with a tumor compressing the lumen of the esophagus (arrows). Date of download: 10/23/2017 Copyright © 2000 American Medical Association. All rights reserved.