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This 10-year-old girl noted a growth in the outer corner of her right eye approximately 2 months ago. The lesion has been growing ever since. There is no pain or tenderness. The mass is firm and not attached to the underlying bone. She denies any other associated symptoms. She is otherwise healthy and is not on any medications. Both the patient and the parents want the lesion to be removed.

1.	What is the next step?
	a. observe and reassure the parents that this lesion will resolve by itself b. antibiotic treatment c. warm compresses d.  none of the above
2.	What is the most appropriate step for diagnosis?
	a. CT scan b. excision of the lesion c. culture d.  MRI
3.	What is the most likley diagnosis for this lesion?
	a. epidermal inclusion cyst b. chalazion c. basal cell carcinoma d.  tumor of hair follicle origin

For answers to the above, click here on or after November 30, 2004.