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1. Nodules
Chalazion
Acute hordeola
Molluscum contagiosum
Xanthelasma
2. Cysts
Cyst of Moll
Cyst of Zeiss
Sebaceous cyst
Hidrocystoma
3. Tumours
Viral wart
Keratoacanthoma
Naevi
Capillary haemangioma
Port-wine stain
Pyogenic granuloma
Cutaneous horn
Histology of chalazion
Epithelioid
cells
Multinucleated
giant cells
Treatment of chalazion
Insertion of clamp
Acute hordeola
Internal hordeolum
( acute chalazion )
Molluscum contagiosum
Signs
Complications
Intracytoplasmic (Henderson-Patterson)
inclusion bodies
Deep within lesion bodies are small and
eosinophilic
Near surface bodies are larger and
basophilic
Xanthelasma
Eyelid cysts
Cyst of Moll
Translucent
On anterior lid
margin
Cyst of Zeis
Opaque
On anterior lid
margin
Sebaceous cyst
Cheesy contents
Frequently at
inner canthus
Pedunculated
Sessile
Finger-like projections of
fibrovascular connective tissue
Keratoses
Seborrhoeic
Common in elderly
Discrete, greasy, brown lesion
Friable verrucous surface
Flat stuck-on appearance
Actinic
Keratoacanthoma
Naevi
Appearance and classification determined by location within skin
Tend to become more pigmented at puberty
Intradermal
Junctional
Elevated
Flat, well-circumscribed
May be non-pigmented
Pigmented
No malignant potential
Compound
Capillary haemangioma
Rare tumour which presents soon after birth May be associated with intraorbital
extension
Starts as small, red lesion, most frequently
Grows quickly during first year
on upper lid
Blanches with pressure and swells on crying
Periocular haemangioma
Treatment options
Steroid injection in
most cases
Surgical resection in
selected cases
Occasional systemic
associations
High-out heart failure
Associations
Ipsilateral glaucoma in 30%
Sturge-Weber or
Klippel-Trenaunay-Weber
syndrome in 5%
Subsequent darkening
and hypertrophy of skin
Pyogenic granuloma
Cutaneous horn