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This 1-year-old boy presented with a swelling around the left eye in the area of the lacrimal gland. On palpation it was described as “soft and fleshy”. During the evaluation several tan, pigmented lesions were seen on her abdomen as shown in the figure above.

1.	This finding suggests the possibility that the swelling represents:
	a. anything; there is no connection b. a likely dacryocystitis c. a plexiform neuroma d.  retinoblastoma e. none of the above
2.	Treatment should be:
	a. immediate excision of the lesion and biopsy of the skin lesions b. simply observing the patient c. X-ray treatment d.  chemotherapy e. none of the above
3.	This condition is likely to be:
	a. genetic b. autosomal dominant c. possibly occurring as a spontaneous occurrence d.  the first of many similar lesions e. all of the above

For answers to the above, click here on or after July 10, 2007.