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Another example shown of a similar patient

A 12-year-old boy was presented for examination because his mother noted a “lump” under the inner corner of his left upper lid. This was noticed only when he looked down as evidenced by a slight fullness of the lid and could be seen as shown above only when the upper lid was pulled up. Visual acuity was 20/20 in each eye. Refraction was +0.50 in each eye and there were no other eye abnormalities.

1.	What is the diagnosis?
	a. traumatic inclusion cyst b. hemangioma c. rhabdomyosarcoma d. solid dermoid cyst e. dermolipoma
2.	How would you treat this condition?
	a. Do nothing! b. At the most, carefully excise the visible part. c. Remove it completely. d. Do combined radical excision and X-ray treatment. e. (a) or (b)
3.	What is the long term outlook for this condition?
	a. The tumor will not enlarge and is not likely to cause any problems if left untreated. b. It will grow rapidly. c. It will grow slowly. d. There is no way to tell how this type of tumor will behave. e. none of the above

For answers to the above, click here on or after March 31, 2009.