A 58-year-old Indian man presented with a 4-year history of an asymptomatic growth on his right lower eyelid. He had not noticed any bleeding, ulceration, or sudden change in the size or color of the lesion. His history was unremarkable except for long-term sun exposure as a result of the frequent traveling that was required for his job. No other family members were affected. The patient had a dark complexion with dark, black eyes and hair.
Cutaneous examination revealed a single, well-defined, oval, sessile, hyperpigmented nodule with a lobulated surface near the medial canthus on the right lower eyelid. On palpation, the nodule was nontender, firm, and freely mobile (Figure 1). There was no evidence of regional lymphadenopathy. The patient was otherwise healthy.
Subramanian S, Phiske M, Jerajani H. Asymptomatic Nodule on the Lower Eyelid—Quiz Case. Arch Dermatol. 2004;140(8):1003-1008. doi:10.1001/archderm.140.8.1003-e