Not sure if I saw a really low power picture to see the who lesion.  I suspect there is a sebaceous epithelioma in a background of epidermal irritated verrucal keratosis. I did not see malignant features. this patient may need work it up for Muir-Torre syndrome by checking the mismatch repair genes like MLH1, MSH2, MSH6 and PMS2...

 汗孔上皮瘤。

 皮脂腺瘤。

脂溢性角化病 

 汗孔上皮瘤。