46 Questions
Which condition is characterized by flat, yellowish, plaques most commonly found in the nasal/medial eyelid of middle-aged to older patients?
Xanthelasma
Which condition is associated with hyperlipidemias and may warrant referral for excision if a cosmetic concern arises?
Xanthelasma
Which condition is a pox virus infection that can be transmitted through direct contact or fomites in children?
Molluscum Contagiosum
Which condition may transform into malignancy, especially in cases where total epidermal nests migrate into the dermis over time?
Melanotic Nevus
What type of lesion is most common in the nodular form of malignant melanoma affecting the eyelids?
Amelanotic nodule
Which condition is often mistaken for a chalazion due to its firm, yellow nodule appearance but can present with a plaque-like thickening and invasion of eyelash follicles?
Sebaceous Cell Carcinoma
Which condition requires wide surgical excision with microscopic margin monitoring as the treatment of choice?
Malignant Melanoma
What type of lesion may be found between the superior and lateral rectus insertions posteriorly to the limbus or limbus, and is less pigmented than other forms?
Solid limbal dermoids
What condition manifests as a rapidly growing nodule on sun-exposed areas and can progress to squamous cell carcinoma if left untreated at the involutional stage?
Keratoacanthoma
What type of neoplasm arises from the meibomian glands, glands of Zeis, and from the sebaceous glands of the caruncle and eyebrow, often resembling a chalazion but with significant metastatic potential?
Sebaceous Cell Carcinoma
What is the treatment of choice for malignant lesions of the eyelids due to their rare metastasis?
Mohs surgery
What is the treatment approach for localized orbital lymphoma?
Radiation therapy
Why are steroids not a significant part of treating lymphoid lesions in the orbit?
They play little role in treating such lesions
What type of work up is required for a patient diagnosed with orbital lymphoma before undergoing localized therapy?
Systemic work up including chest x-ray and bone marrow biopsy
Why is surgical cure not possible for lymphoid lesions in the orbit?
Lymphoid lesions are diffuse and infiltrated into orbital fat tissue
What is the range of commonly used radiation doses for malignant orbital lymphoma?
$2000$ to $3000$ rad
What is the significance of regression in the form of lymphoid hyperplasia in the treatment of orbital lymphoma?
It suggests a good response to treatment
In patients with orbital lymphoma, what tests are included in the extensive systemic work up before localized therapy?
Bone scan, liver-spleen scan, and Coombs' test among others
What is the recommended treatment for a sebaceous cyst located superficially in the eyelid?
Cosmetic incision and expression of contents
What is the role of radiation therapy in treating benign disease (lymphoid infiltration) compared to malignant disease in the orbit?
Lower doses for benign disease and higher doses for malignant disease
Which cyst on the eyelid involves the gland of Moll and is transparent?
Sudoriferous cyst
What is a key reason why extensive systemic work up is required before localized therapy in patients with orbital lymphoma?
To ensure there is no systemic involvement prior to localized treatment
What is a common term used for squamous cell papillomas found on the eyelid?
Skin tags
Which benign lesion of the eyelid can be suspected to have a viral origin such as HPV?
Squamous cell papilloma
What is the characteristic appearance of lesions caused by squamous cell papillomas?
Flesh-colored growths
Which type of tumor is most commonly associated with hormonal changes during pregnancy?
Capillary Hemangioma
What is the primary method used to diagnose squamous cell papillomas?
Typical clinical appearance
Which tumor type shows solid cellular zones and open zones with irregular lumina in its histopathology?
Capillary Hemangioma
Which tumor typically presents with decreased visual acuity and a relative afferent pupillary defect (RAPD)?
ON Sheath Meningioma
Which tumor type may involve the arms, trunk, or small intestine in rare cases?
Cavernous Hemangioma
Which tumor is specifically associated with neurofibromatosis type 1 (NF1) in a significant percentage of cases?
ONH Glioma
Which tumor may involve the lacrimal gland in about 30% of cases?
Orbital Lymphoma
Which tumor type is the most common primary orbital tumor of adults?
Cavernous Hemangioma
Which tumor might initially present with optic nerve head (ONH) compressive swelling followed by atrophy?
ONH Glioma
Which tumor type is characterized by lesions of glial tissue within the optic nerve or orbit?
ONH Glioma(Juvenile)
Which tumor is associated with the presence of multinucleated lymphocytes (Reed-Sternberg cells)?
Hodgkin's Lymphoma(HL)
Which of the following lesions may present with up to 20 lesions at the lid margin?
Molluscum Contagiosum
Which condition may have an atypical presentation of 30-40 lesions on each eyelid or as a confluent mass?
Melanotic Nevus
What type of lesion originates from the neck of the hair follicle and may be considered a pre-cancerous lesion?
Keratoacanthoma
Which condition is characterized by a raised, shiny, white-to-pink nodule with a central umbilication filled with cheesy material?
Keratoacanthoma
Which type of lesion is most common in the nodular form of cutaneous malignant melanoma affecting the eyelids?
Malignant Melanoma
What is the mainstay treatment of choice for Sebaceous cell carcinoma?
Wide surgical excision
Which condition presents with compact, pale yellow growths that contain hair, sweat glands, fat, and sebaceous glands?
Solid Limbal Dermoids
What is the characteristic clinical appearance of Capillary Hemangiomas?
Purple or red nodules on the eyelids and caruncle
What is the most common orbital vascular tumor in childhood?
Capillary Hemangioma
What is the main treatment for Solid Limbal Dermoids?
Surgical excision with microscopic margin monitoring
Learn about Xanthelasma and Molluscum Contagiosum skin conditions, their characteristics, causes, and treatment options. Understand the risk factors and management strategies associated with these dermatological issues.
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