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SYMPTOMS
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Usually asymptomatic | Occasional irritation
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SIGNS
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Firm, nodular mass with telangiectasias. Sometimes flat or ulcerated
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WORK-UP
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Thorough history. Slit lamp examination
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TREATMENT
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UV protection | Biopsy | Surgical excision (Mohs technique) is the gold standard
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ETIOLOGY
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UV damage (most common) | Radiation
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DIFFERENTIAL DX
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Seborrheic keratosis | Actinic keratosis | Squamous cell carcinoma | Sebaceous gland carcinoma | Malignant melanoma
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NOTES
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Tumor usually located in the lower lid or medial canthus. Most common malignant eyelid tumor. Sometimes referred to as a “rodent ulcer.”
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