Brief ReportsUnusual Presentation of Gastric Adenocarcinoma Metastatic to the OrbitYunker, Jacob J. M.D.*; Vicinanzo, Matthew G. M.D.*; Braswell, Ronald A. M.D.*; Read, Russell W. M.D.*†; Goldin, George F. M.D.‡; Long, John A. M.D.* Author Information Departments of *Ophthalmology and †Pathology, University of Alabama at Birmingham, Birmingham, Alabama, U.S.A.; and ‡Harbin Clinic, Rome, Georgia, U.S.A. Accepted for publication May 10, 2006. Supported in part by unrestricted departmental grants from Research to Prevent Blindness, Inc, New York, New York, and the Eyesight Foundation of Alabama, Birmingham, Alabama. Institutional review board approval was obtained for this report. The authors state that no proprietary interest exists for any of the material presented in this manuscript. Address correspondence and reprint requests to John A. Long, M.D., Alabama Ophthalmology Associates, 1000 19th Street South, Birmingham, Alabama 35205. E-mail: [email protected]o.com Ophthalmic Plastic & Reconstructive Surgery: November 2006 - Volume 22 - Issue 6 - p 490-491 doi: 10.1097/01.iop.0000245484.65470.51 Buy Metrics AbstractIn Brief A 69-year-old woman with no history of malignant disease presented with complaints of ptosis, diplopia, and left upper eyelid fullness. Computed tomography showed soft tissue infiltration of the left superior orbit. Biopsy was performed through an anterior orbitotomy. Histopathology revealed a mucinous adenocarcinoma. Subsequent systemic evaluation included esophagogastroduodenoscopy, which revealed a primary gastric malignancy. A woman who presented with ptosis, left upper eyelid fullness, and diplopia underwent orbital biopsy leading to the diagnosis of metastatic disease from a primary gastric adenocarcinoma. ©2006The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.