# Palpebral conjunctival Papilloma vs. Granuloma

This is a lesion under the upper eyelid.  The upper lid is everted.   The top picture is taken in December 2011 and the bottom picture was taken in July 2011.  The lesion appears less vascularized (less blood supply) curretnly, however it does appear like there are is a new nodule to the left and larger nodule to the right.  With the evidence of growth, I believe that, although this is likely a benign lesion, it should be removed before it becomes much larger, so that it is easier to remove with less risk of complication than if we wait.

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