Atypical lesion – spindle tumour.

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Atypical lesion – spindle tumour.

Atypical lesion – spindle tumour.

When you see atypical lid lesions, be suspicious
This 30 year old man came in with a history of progressive growth of a central lower lid tumour over 6 months. It has a very atypical appearance.
It is always tempting to shave such things, but if you don’t know, be careful.

I elected to do an excision, and pathology confirmed spindle cell tumour, with margins well clear. This is his appearance at 2 weeks.

Refer if suspicious!

Comment:

A cutaneous horn although looks different to the above is another example of a weird atypical eyelid lesion that sticks out a bit like a triceratops nose

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