Fig. 7. A 61-year-old chronic alcoholic man presented with a fungating, putrefying, left temporal mass(inset) that extended into the adjacent orbit and flattened the globe, as shown on coronal CT scan. It proved to be a squamous cell carcinoma of the skin associated with cervical and mediastinal adenopathy. He underwent radical local radiotherapy, which led to regression of the local lesion. (Rootman J, Ragaz J, Cline R, Lapointe JS: Metastatic and secondary tumors of the orbit. In Rootman JR (ed): Diseases of the Orbit: A Multidisciplinary Approach, pp 405–427. Philadelphia, JB Lippincott, 1988.)