The lesion that most commonly fits this description is a benign squamous papilloma. However, it is possible that other benign eyelid lesions may take on the same appearance, as well as malignant skin lesions, especially squamous carcinoma.
Squamous papilloma is a benign tumor of epithelial origin.
No known differences in race presentation or frequency exist. Determine how long the lesion has been present. Ask the patient if any similar lesions have occurred before anywhere on the patient's body. Ask the patient if a malignant skin lesion has occurred before. Ulceration and inflammation with distortion of the eyelid anatomy, abnormal color, texture, or persistent bleeding suggest malignancy.