(a) Photomicrographs demonstrate cytologic atypia of tarsal tumor, right lower lid. (b) Pigmented melanophages within vascular cores imparting brown color to tumor. (c) Viral-containing koilocytes are present in outer tumor. (d) P53 immunostain is diffusely positive (hematoxylin/eosin (a)–(c) ; (d) immunostain, ).