An otherwise healthy 10-year-old boy had a large and growing asymptomatic lesion on the left upper eyelid (Figure 1B). He had noted a small, bluish papule 2 months previously; the lesion had grown following trauma when he was hit in the ipsilateral eye by a dodgeball. On physical examination, the upper eyelid lesion was a firm, pink, 25 × 12 × 6-mm nodule with overlying telangiectasias. He had smaller but similar-appearing lesions on his right foot and left upper arm. The remainder of the skin examination results were normal.