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A 76-year-old man presented with a raised brownish lesion on the outer aspect of the right upper lid as shown in the pictures. The patient had a history of removal of a malignant melanoma from the scalp 6 years earlier and a similar lesion from the neck 3 years earlier.

1.	When seeing this lesion with this history your first thought is:
	a. This should be considered a malignant melanoma. b. In spite of the history, this is likely to be a common benign skin growth. c. This type of lesion is rarely seen after puberty. d. Excision with a wide margin is indicated. e. none of the above
2.	The most likely diagnosis is:
	a. seborrheic keratosis b. benign melanoma c. malignant melanoma d. hemorrhagic chalazion e. none of the above
3.	This lesion should be treated as follows:
	a. cryosurgery b. electrosurgery and curettage c. excisional biopsy d. plaque irradiation therapy e. none of the above

For answers to the above, click here on or after March 20, 2012.