The lesion seen below has been present for many years. The patient does not complain of pain, itching or growth. This is most consistent with:

Correct Answer: apocrine hydrocystoma

This lesion is a fluid filled cyst. It has been present for many years without change which indicates a benign process. The lesion is not causing surrounding destruction of normal skin markings. It is well circumscribed and rests at the medial canthus, not over the lacrimal sac area where dacryocystitis would be evident.