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You see an 18-month-old boy presented by his mother with a “lump” above his eye. You see this lump as shown in the picture above. The child is described by his mother as “perfectly healthy”. She states that she just noticed this, but in retrospect she thinks that it could have been present for several months at least. Your eye examination confirms that the child’s eyes are normal. The mass is firm to palpation, but can be moved slightly under what appears to be normal skin and is softer than “rock hard”.

1.	The most likely diagnosis is:
	a. hemangioma b. dermoid c. lacrimal gland cyst d. chalazion e. osteoma
2.	This mass could contain:
	a. hair follicles b. sebaceous lands c. sweat glands d. keratinized epithelium e. all of the above
3.	Management of this condition is:
	a. observation b. irradiation c. needle drainage d. warm compresses and antibiotics e. none of the above

For answers to the above, click here on or after December 28, 2010.