A 30-year-old man presented with a pedunculated lesion on his right lower eyelid that had grown over in 3 days. Two weeks before the presentation, a cyst had ruptured on the same eyelid and the new lesion had started as a small lump on the bulbar conjunctiva and increased in size until it protruded from the eyelid (as indicated in the image). What can be the most likely diagnosis in this case?

*This case is from Docplexus editorial team for educative purpose only. Source: NEJM