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Picture of the Month Quiz

A previously healthy 14-year-old girl had a large but asymptomatic lesion on the left lower eyelid margin (Figure). She had first noted a small papule that gradually and progressively grew over 5 months. She also noticed the lesion had grown after minor trauma. On physical examination, the lower eyelid lesion was a firm, pink, 28 × 19 × 15-mm nodule with central ulceration and crust. The remainder of the skin examination results were normal.

Figure

Figure.

What is your diagnosis?

For a complete discussion of this month's case, read next month's Picture of the Month—Quiz Case. For a complete discussion of last month's case, read this month's Picture of the Month—Quiz Case.