1. Lifting weights for just five minutes can slash stroke and heart attack risk
  2. We’re Reimagining Our Travel Journalism. Tell Us What You’d Like to See.
  3. Why 536 AD was the worst year to be alive
  4. Great Pyramid of Giza: Egyptian Pharaoh ‘HIDDEN in secret chamber’
  5. How will Trump take Amazon move? ‘He will think Bezos made this decision to stick it to him.’
  6. SHARE PUNT OF THE WEEK: Pub chain Fuller’s
  7. Live Statue of Unity: Special coverage of inaugural of world’s tallest statue
  8. Jessie J ‘disappointed’ with fan comparisons to Channing Tatum’s ex Jenna Dewan
  9. NHS system error puts lives at risk as nearly 50,000 women are not sent screening letters
  10. Chiefs fans frustrated after NFL moves game vs. Rams from Mexico City to Los Angeles
  11. Bullets that don’t miss, weaponized insects and more: Innovations from DARPA, America’s secret lab
  12. Alien news: Oregon woman stunned as ’15 shape-changing UFOs’ appear
  13. Mattis heads to US-Mexico border to visit troops awaiting migrant caravan
  14. Telematics insurance has helped cut young driver casualties by a third
  15. Budget 2015 headlines in 4 minutes – BBC News
  16. Michael Douglas says famous dad Kirk Douglas told him his acting debut was ‘absolutely terrible’
  17. Now US regulators vow to ban menthol cigarettes
  18. West Ham midfielder Robert Snodgrass insists his side should be doing better this season
  19. Christian women in Ireland don’t believe in limbo anymore, survey finds
  20. Ancient Egypt bombshell: Shock evidence pyramids built 5,500 years early
  21. California’s Rohrabacher not conceding despite media’s call of Democrat victory
  22. Launch of dedicated ‘Poppy’ bank accounts gives boost for Armed Forces
  23. India’s campaigning Miss World – BBC News
  24. Red Dead Online release date: When does Red Dead Redemption 2 multiplayer come out? | Gaming | Entertainment
  25. Wynn Resorts shares fall 12 percent as it misses earnings estimates
  26. Several former NFL players win midterm races
  27. Facebook starts shipping Portal smart displays
  28. Alien news: Nazi technology ‘exposed as floating bell stuns locals’
  29. Prince Charles won’t speak out when he becomes king
  30. How do I vote if I own shares in a nominee account not paper?
  31. What if UK PM refused to allow another Scottish referendum? BBC News
  32. Legendary stuntwoman Kitty O’Neil dead at 72
  33. Opioid overdoses killed 200 Americans a DAY last year, DEA report reveals
  34. Transfer news LIVE: Neymar to Barcelona shock, Man Utd wage problem, Chelsea swap deal | Football | Sport
  35. Victorian street demolished in Second World War is found in Cornwall
  36. NASA spots huge ‘thermal anomaly’ in Atlantic Ocean sparking frenzy
  37. Avenatti stars in ‘avenging angel’ role
  38. Property prices pushed down by over valuations, a lack of supply and Brexit, say estate agents
  39. CEO Mette Hoffmann Meyer on BBC World News
  40. Jason Aldean, wife Brittany Kerr reveal daughter’s name at baby shower
  41. Phoenix Coldon’s mysterious disappearance perplexes retired officer in new doc: ‘I want to help bring some closure’
  42. Marsha Blackburn leads Phil Bredesen
  43. Is Russia still meddling in US politics? – BBC News
  44. Raheem Sterling arrives for Manchester City training with ‘Fully Paid’ hat
  45. Where to see the best fall foliage across the country
  46. New ‘sensitive’ cervical cancer screening could save women from smear tests after 55
  47. Alien news: UFO spotted ‘taking off from the moon’ in BOMBSHELL clip
  48. Sky finally launches Netflix via its Sky Q boxes
  49. John Schneider reveals ‘Dukes of Hazzard’ memories, weighs in on Tom Wopat troubles
  50. Angela Merkel’s political challenges – BBC News
  51. Essential Gear for Traveling Solo
  52. Paul Zimmerman, acclaimed NFL writer known as ‘Dr. Z,’ dead at 86
  53. Britain’s first double hand transplant patient can now open his door
  54. Ghost news: Man is ‘followed around haunted house by girl in a cape’
  55. Florida mayor accused of asking resident for sex in exchange for neighborhood speed bumps
  56. Is Mike Ashley King of the High Street? As he bags Evans Cycles, what else is in his retail empire?
  57. Kate Middleton reveals royal rule for Prince George, Princess Charlotte
  58. Trump says ‘no’ to migrants: BBC News Review
  59. Manchester United stars arrive for training ahead of Bournemouth clash
  60. NYC airport workers to earn nation’s highest minimum wage
  61. Costa Coffee stores BAN under 16s from buying caffeinated drinks
  62. Brexit Secretary ‘behaving like a thief in the night’
  63. Savills forecasts house prices will rise 15% in five years
  64. ‘Broad City’ star Ilana Glazer’s political event canceled after vandals write ‘kill all Jews’ inside synagogue
  65. World’s Tallest Statue Cost $420 Million, Tivals The Space Needle | NBC News
  66. The home of Bollywood has much to offer travelers
  67. NHL player Evander Kane facing $6M lawsuit as ex-girlfriend claims he reneged on $3M abortion payment
  68. Woman, 24, whose IBS left her looking ‘nine months pregnant’ is now a slim size 10
  69. Kasich: ‘A pox on both houses’ for Kavanaugh confirmation process
  70. Dumbo octopus monster SPOTTED by deep-sea EV Nautilus explorers
  71. Who is George Soros? – BBC News
  72. Dad creates VR world to help daughter – BBC News
  73. David Foster and Katharine McPhee show some PDA at Beverly Hills event
  74. DNA testing websites are ‘scaring women into asking for breast removal surgery’
  75. It Might Not Be a Drinking Problem, but It’s Definitely a Problem
  76. Commerce Department launches audit of steel tariff waivers
  77. Leicester helicopter crash: Schmeichel ‘stopped by police as he ran at burning helicopter’ | Football | Sport
  78. Michael Jackson ALIVE: Frenzy over King of Pop’s ‘nameless empty crypt’
  79. Meghan Markle, Prince Harry breaking royal protocol? 7 times the couple strayed from tradition
  80. ‘Heroic’ TSA agent saves man having heart attack at airport
  81. Hope for the millions of women with endometriosis as scientists edge one step closer to a ‘cure’
  82. Maxine Waters, Schiff among high-profile Dems poised to control committees if House flips
  83. Google Earth spots ‘secret spy plane’ in US military base near Area 51
  84. Parents are paying out thousands for their children to go on school trips
  85. The new MacBook Air makes it near impossible to eavesdrop
  86. Just FIVE percent of US children are meeting the recommended amount of weekly physical activity
  87. Brazilian airline Gol to offer premium class with no middle seats
  88. Retirement contribution limits will rise in 2019
  89. 5 things to binge-watch while spring cleaning
  90. No laughing matter: When exactly did clowns become scary?
  91. Vanessa Trump files for divorce from Donald Trump Jr
  92. Eyelid Lumps and Bumps
  93. 5 Ways Grains Interfere with Weight Loss
  94. Bright Eyes: More Than a Fresh Look
  95. Fighting the flu? This technology tries to help you get well faster
  96. Google hopes AI can predict heart disease by looking at retinas
  97. This startup wants to create a 3D-printed heart
  98. Expert SEO Advice on Marketing Your New Business
  99. Best Tools for Running a Retail Website
  100. How to Create an Exceptional Omnichannel Retail Experience
  101. Jimmie Johnson Mired in Career Worst 28-Race Losing Streak
  102. South Carolina Advances With 79-63 Win Over Buffalo
  103. Thomas Nears No. 1 With Another Short Round in Match Play
  104. Austin serial bomber: Self-described psychopath left behind unemotional trail of murder
  105. ‘Half my family is gone’: Mom mourns Iowa family found dead at Mexico resort
  106. March for our Lives rallies happening in every U.S. state: ‘We’re here and coming to make a change’
Sun, Nov 18, 2018
  1. Lifting weights for just five minutes can slash stroke and heart attack risk
  2. We’re Reimagining Our Travel Journalism. Tell Us What You’d Like to See.
  3. Why 536 AD was the worst year to be alive
  4. Great Pyramid of Giza: Egyptian Pharaoh ‘HIDDEN in secret chamber’
  5. How will Trump take Amazon move? ‘He will think Bezos made this decision to stick it to him.’
  6. SHARE PUNT OF THE WEEK: Pub chain Fuller’s
  7. Live Statue of Unity: Special coverage of inaugural of world’s tallest statue
  8. Jessie J ‘disappointed’ with fan comparisons to Channing Tatum’s ex Jenna Dewan
  9. NHS system error puts lives at risk as nearly 50,000 women are not sent screening letters
  10. Chiefs fans frustrated after NFL moves game vs. Rams from Mexico City to Los Angeles
  11. Bullets that don’t miss, weaponized insects and more: Innovations from DARPA, America’s secret lab
  12. Alien news: Oregon woman stunned as ’15 shape-changing UFOs’ appear
  13. Mattis heads to US-Mexico border to visit troops awaiting migrant caravan
  14. Telematics insurance has helped cut young driver casualties by a third
  15. Budget 2015 headlines in 4 minutes – BBC News
  16. Michael Douglas says famous dad Kirk Douglas told him his acting debut was ‘absolutely terrible’
  17. Now US regulators vow to ban menthol cigarettes
  18. West Ham midfielder Robert Snodgrass insists his side should be doing better this season
  19. Christian women in Ireland don’t believe in limbo anymore, survey finds
  20. Ancient Egypt bombshell: Shock evidence pyramids built 5,500 years early
  21. California’s Rohrabacher not conceding despite media’s call of Democrat victory
  22. Launch of dedicated ‘Poppy’ bank accounts gives boost for Armed Forces
  23. India’s campaigning Miss World – BBC News
  24. Red Dead Online release date: When does Red Dead Redemption 2 multiplayer come out? | Gaming | Entertainment
  25. Wynn Resorts shares fall 12 percent as it misses earnings estimates
  26. Several former NFL players win midterm races
  27. Facebook starts shipping Portal smart displays
  28. Alien news: Nazi technology ‘exposed as floating bell stuns locals’
  29. Prince Charles won’t speak out when he becomes king
  30. How do I vote if I own shares in a nominee account not paper?
  31. What if UK PM refused to allow another Scottish referendum? BBC News
  32. Legendary stuntwoman Kitty O’Neil dead at 72
  33. Opioid overdoses killed 200 Americans a DAY last year, DEA report reveals
  34. Transfer news LIVE: Neymar to Barcelona shock, Man Utd wage problem, Chelsea swap deal | Football | Sport
  35. Victorian street demolished in Second World War is found in Cornwall
  36. NASA spots huge ‘thermal anomaly’ in Atlantic Ocean sparking frenzy
  37. Avenatti stars in ‘avenging angel’ role
  38. Property prices pushed down by over valuations, a lack of supply and Brexit, say estate agents
  39. CEO Mette Hoffmann Meyer on BBC World News
  40. Jason Aldean, wife Brittany Kerr reveal daughter’s name at baby shower
  41. Phoenix Coldon’s mysterious disappearance perplexes retired officer in new doc: ‘I want to help bring some closure’
  42. Marsha Blackburn leads Phil Bredesen
  43. Is Russia still meddling in US politics? – BBC News
  44. Raheem Sterling arrives for Manchester City training with ‘Fully Paid’ hat
  45. Where to see the best fall foliage across the country
  46. New ‘sensitive’ cervical cancer screening could save women from smear tests after 55
  47. Alien news: UFO spotted ‘taking off from the moon’ in BOMBSHELL clip
  48. Sky finally launches Netflix via its Sky Q boxes
  49. John Schneider reveals ‘Dukes of Hazzard’ memories, weighs in on Tom Wopat troubles
  50. Angela Merkel’s political challenges – BBC News
  51. Essential Gear for Traveling Solo
  52. Paul Zimmerman, acclaimed NFL writer known as ‘Dr. Z,’ dead at 86
  53. Britain’s first double hand transplant patient can now open his door
  54. Ghost news: Man is ‘followed around haunted house by girl in a cape’
  55. Florida mayor accused of asking resident for sex in exchange for neighborhood speed bumps
  56. Is Mike Ashley King of the High Street? As he bags Evans Cycles, what else is in his retail empire?
  57. Kate Middleton reveals royal rule for Prince George, Princess Charlotte
  58. Trump says ‘no’ to migrants: BBC News Review
  59. Manchester United stars arrive for training ahead of Bournemouth clash
  60. NYC airport workers to earn nation’s highest minimum wage
  61. Costa Coffee stores BAN under 16s from buying caffeinated drinks
  62. Brexit Secretary ‘behaving like a thief in the night’
  63. Savills forecasts house prices will rise 15% in five years
  64. ‘Broad City’ star Ilana Glazer’s political event canceled after vandals write ‘kill all Jews’ inside synagogue
  65. World’s Tallest Statue Cost $420 Million, Tivals The Space Needle | NBC News
  66. The home of Bollywood has much to offer travelers
  67. NHL player Evander Kane facing $6M lawsuit as ex-girlfriend claims he reneged on $3M abortion payment
  68. Woman, 24, whose IBS left her looking ‘nine months pregnant’ is now a slim size 10
  69. Kasich: ‘A pox on both houses’ for Kavanaugh confirmation process
  70. Dumbo octopus monster SPOTTED by deep-sea EV Nautilus explorers
  71. Who is George Soros? – BBC News
  72. Dad creates VR world to help daughter – BBC News
  73. David Foster and Katharine McPhee show some PDA at Beverly Hills event
  74. DNA testing websites are ‘scaring women into asking for breast removal surgery’
  75. It Might Not Be a Drinking Problem, but It’s Definitely a Problem
  76. Commerce Department launches audit of steel tariff waivers
  77. Leicester helicopter crash: Schmeichel ‘stopped by police as he ran at burning helicopter’ | Football | Sport
  78. Michael Jackson ALIVE: Frenzy over King of Pop’s ‘nameless empty crypt’
  79. Meghan Markle, Prince Harry breaking royal protocol? 7 times the couple strayed from tradition
  80. ‘Heroic’ TSA agent saves man having heart attack at airport
  81. Hope for the millions of women with endometriosis as scientists edge one step closer to a ‘cure’
  82. Maxine Waters, Schiff among high-profile Dems poised to control committees if House flips
  83. Google Earth spots ‘secret spy plane’ in US military base near Area 51
  84. Parents are paying out thousands for their children to go on school trips
  85. The new MacBook Air makes it near impossible to eavesdrop
  86. Just FIVE percent of US children are meeting the recommended amount of weekly physical activity
  87. Brazilian airline Gol to offer premium class with no middle seats
  88. Retirement contribution limits will rise in 2019
  89. 5 things to binge-watch while spring cleaning
  90. No laughing matter: When exactly did clowns become scary?
  91. Vanessa Trump files for divorce from Donald Trump Jr
  92. Eyelid Lumps and Bumps
  93. 5 Ways Grains Interfere with Weight Loss
  94. Bright Eyes: More Than a Fresh Look
  95. Fighting the flu? This technology tries to help you get well faster
  96. Google hopes AI can predict heart disease by looking at retinas
  97. This startup wants to create a 3D-printed heart
  98. Expert SEO Advice on Marketing Your New Business
  99. Best Tools for Running a Retail Website
  100. How to Create an Exceptional Omnichannel Retail Experience
  101. Jimmie Johnson Mired in Career Worst 28-Race Losing Streak
  102. South Carolina Advances With 79-63 Win Over Buffalo
  103. Thomas Nears No. 1 With Another Short Round in Match Play
  104. Austin serial bomber: Self-described psychopath left behind unemotional trail of murder
  105. ‘Half my family is gone’: Mom mourns Iowa family found dead at Mexico resort
  106. March for our Lives rallies happening in every U.S. state: ‘We’re here and coming to make a change’

The eyelids are delicate structures meant to protect the eyes. Like all skin, they are prone to various lumps and bumps that leave us wondering, “Is this something to worry about?”

Sebaceous cell carcinoma. This subtle lesion was present for two months prior to presentation. It gave the appearance of “thickening” of the inner side of the left lower eyelid margin.
Sebaceous cell carcinoma. This subtle lesion was present for two months prior to presentation. It gave the appearance of “thickening” of the inner side of the left lower eyelid margin.

Areas of concern may appear gradually or seemingly suddenly. They may be quite obvious or very subtle. An exam by a physician is the optimal way to determine the best course of action. Lumps and bumps may range from benign things such as cysts and chalazia (internal styes) to malignant lesions such as basal cell carcinoma or sebaceous cell carcinoma. Each has characteristic findings that help to form a diagnosis on examination.

Key factors the physician will consider are:

How long has it been present?
Is it painful?
Has it caused any bleeding or crusting?
Has it caused distortion of the eyelid or loss of lashes?
A chalazion or stye occurs when the oil glands in the eyelid become blocked. The oily secretions build up, causing redness, swelling, tenderness and a palpable lump. It is best to begin warm water compresses to try to alleviate the blockage. The lump may resolve with this conservative therapy. If it persists, a short office visit to drain it may be needed. Occasionally, oral antibiotics may be needed as well.

A cyst forms when an infolding of the outermost layer of skin develops. The cyst becomes a self-contained “balloon” and expands as the skin cells shed debris or even fluid. These usually enlarge gradually over time. They may resolve spontaneously, but often will require an office visit for removal if bothersome to the patient.

Solid lesions may be benign or malignant. Benign entities include nevi (moles), sebaceous (oily) cysts or inflamed growths. These are benign and are generally characterized by gradual enlargement, chronicity (sometimes present for many years), with little or no eyelid distortion (no loss of lashes, no bleeding or crusting).

A large nodular basal cell carcinoma of the right lower eyelid margin (region of eyelash growth). Note the irregularity of the margin surface, diffuse loss of eyelashes and roughened contours.
A large nodular basal cell carcinoma of the right lower eyelid margin (region of eyelash growth). Note the irregularity of the margin surface, diffuse loss of eyelashes and roughened contours.

Benign lesions may be difficult to discern from malignant entities. More concerning findings include madarosis (loss of eyelashes), destruction or erosion of the eyelid skin or margin (where the lashes emerge), bleeding, crusting, or non-healing areas. Early malignant lesions may even have a number of characteristics typically found in benign conditions.

Eyelid cyst in the central portion of the right lower lid margin. The lesion has a bubble-like appearance and is fluid filled. It causes some distortion of the lash margin, but reassuring signs include the presence of eyelashes and lack of surface erosion.
Eyelid cyst in the central portion of the right lower lid margin. The lesion has a bubble-like appearance and is fluid filled. It causes some distortion of the lash margin, but reassuring signs include the presence of eyelashes and lack of surface erosion.

If the diagnosis is uncertain, removal and biopsy are often indicated. The lesion will be sent to the pathologist for analysis to determine the cause. Biopsy is the procedure of choice to determine the exact nature of a lesion.

If a skin cancer is discovered, surgical removal is needed. The eyelids are very delicate and lack any “extra” skin, so removal of cancer must be weighed against leaving enough tissue for reconstruction. The removal may be undertaken with either a dermatologist specializing in the Mohs technique or by an eyelid surgeon. Reconstruction focuses on restoring proper anatomy and function to the eyelids, as well as a cosmetically desirable outcome. It is difficult to create a “new” eyelid but with the array of surgical techniques available, patients enjoy a satisfying outcome.

0 Comments

Leave a Comment