15.6 KHURANA OF EYELIDS

Question 1

These include; simple papilloma, naevus, angioma, haemangioma, neurofibroma and sebaceous adenoma.

• Benign tumours
• Pre-cancerous conditions
• Malignant tumours

Answer 1

Benign tumours

Question 2

These are solar keratosis, carcinoma in situ and xeroderma pigmentosa.

• Benign tumours
• Pre-cancerous conditions
• Malignant tumours

Answer 2

Pre-cancerous conditions

Question 3

Commonly observed tumours include squamous cell carcinoma, basal cell carcinoma, malignant melanoma and sebaceous gland adenocarcinoma.

• Benign tumours
• Pre-cancerous conditions
• Malignant tumours

Answer 3

Malignant tumours

Question 4

are the most common benign tumours arising from the surface epithelium.

• Papillomas
• Xanthelasma

Answer 4

Papillomas

Question 5

These are creamy-yellow plaque-like lesions which frequently involve the skin of upper and lower lids near the inner canthus

• Papillomas
• Xanthelasma

Answer 5

Xanthelasma

Question 6

represents lipid deposits in histiocytes in the dermis of the lid.

• Papillomas
• Xanthelasma

Answer 6

Xanthelasma

Question 7

common type of birthmark that are usually red or purple.

• Haemangioma
• Neurofibroma

Answer 7

Haemangioma

Question 8

These may be superficial and bright red in colour (strawberry naevus) or deep bluish or violet in colour.

• Capillary haemangioma
• Naevus flammeus (port wine stain)
• Cavernous haemangiomas

Answer 8

Capillary haemangioma

Question 9

It may occur pari passu or more commonly as a part of Sturge-Weber syndrome.

• Capillary haemangioma
• Naevus flammeus (port wine stain)
• Cavernous haemangiomas

Answer 9

Naevus flammeus (port wine stain)

Question 10

It consists of dilated vascular channels and does not grow or regress like the capillary haemangioma.

• Capillary haemangioma
• Naevus flammeus (port wine stain)
• Cavernous haemangiomas

Answer 10

Naevus flammeus (port wine stain)

Question 11

developmental venous anomaly and usually occur after first decade of life.

• Capillary haemangioma
• Naevus flammeus (port wine stain)
• Cavernous haemangiomas

Answer 11

Cavernous haemangiomas

Question 12

It consists of large endothelium-lined vascular channels and usually does not show any regression.

• Capillary haemangioma
• Naevus flammeus (port wine stain)
• Cavernous haemangiomas

Answer 12

Cavernous haemangiomas

Question 13

Lids and orbits are commonly affected in neurofibromatosis (von Recklinghausen’s disease).

• Haemangioma
• Neurofibroma

Answer 13

Neurofibroma

Question 14

The tumour is usually of plexiform type

• Haemangioma
• Neurofibroma

Answer 14

Neurofibroma

Question 15

occur as nonpigmented protrusions with a keratin filled central crater.

• Keratoacanthomas
• Naevi

Answer 15

Keratoacanthomas

Question 16

common cutaneous lesions that arise from the arrested epidermal melanocytes .

• Keratoacanthomas
• Naevi

Answer 16

Naevi

Question 17

located at the epidermis/dermis

• Junctional naevi
• Dermal naevi
• Compound naevi

Answer 17

Junctional naevi

Question 18

are flat, brown in appearance

• Junctional naevi
• Dermal naevi
• Compound naevi

Answer 18

Junctional naevi

“brown appearance, flat”

Question 19

located within the dermis, are elevated lesions which may not be visibly pigmented.

• Junctional naevi
• Dermal naevi
• Compound naevi

Answer 19

Dermal naevi

“no visible pigment, elevated”

Question 20

share features of junctional and dermal naevi

• Junctional naevi
• Dermal naevi
• Compound naevi

Answer 20

Compound naevi

Question 21

though a common lesion of sun exposed skin is relatively uncommon on the eyelids.

• Actinic keratosis
• Xeroderma pigmentosa

Answer 21

Actinic keratosis

Question 22

Characteristic features of this autosomal recessive
(AR) disease are:
• Progressive cutaneous pigmentation resulting from
damage on exposure to natural sunlight.
• Bird-like facies is typical of this condition.
• Predisposition to develop lid tumours

• Actinic keratosis
• Xeroderma pigmentosa

Answer 22

Xeroderma pigmentosa

Question 23

Predisposing factors include increasing age, white skin, sun exposure, xeroderma pigmentosa and basal
cell naevus syndrome.

• Basal cell carcinoma
• Squamous cell carcinoma

Answer 23

Basal cell carcinoma

Question 24

It forms the second commonest malignant tumour
of the lid. It is commonly arises from the lid margin (mucocutaneous junction) in elderly patients
de novo or from pre-existing lesion such as actinic
keratosis, Bowen’s disease and radiation dermatosis.

• Basal cell carcinoma
• Squamous cell carcinoma

Answer 24

Squamous cell carcinoma

Question 25

Risk factors include sun exposure, radiation, fair skin, injury or other irritative insults.

• Basal cell carcinoma
• Squamous cell carcinoma

Answer 25

Squamous cell carcinoma

“sun exposure”

Question 26

There is a male predilection.

• Basal cell carcinoma
• Squamous cell carcinoma

Answer 26

Squamous cell carcinoma

Question 27

It is a rare tumour arising from the meibomian glands
(western literature)

• Sebaceous gland carcinoma
• Malignant melanoma (Melanocarcinoma)

Answer 27

Sebaceous gland carcinoma

Question 28

Clinical features. It usually presents initially as a nodule (which may be mistaken for a chalazion), more frequently on the upper eyelid. Which then grows to form a big growth

• Sebaceous gland carcinoma
• Malignant melanoma (Melanocarcinoma)

Answer 28

Sebaceous gland carcinoma

Question 29

is a rare tumour of the lid (less than 1% of all eyelid lesions).

• Sebaceous gland carcinoma
• Malignant melanoma (Melanocarcinoma)

Answer 29

Malignant melanoma (Melanocarcinoma)

Question 30

It may arise from a pre-existing naevus, but usually arises de novo from the melanocytes present in the skin.

• Sebaceous gland carcinoma
• Malignant melanoma (Melanocarcinoma)

Answer 30

Malignant melanoma (Melanocarcinoma)