Eyelid: sebaceous carcinoma: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Ophthalmology · Eyelid: sebaceous carcinoma

Sample item

A recurrent chalazion in an elderly woman with loss of lashes should raise suspicion of which tumour?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Sebaceous gland carcinoma

Sebaceous carcinoma arises from meibomian glands and mimics chalazion or chronic blepharitis, with pagetoid spread. It is aggressive and needs biopsy and wide excision.

Option by option

  • A. Xanthelasma

    Xanthelasma is a yellow plaque of lipid.

  • B. Basal cell carcinoma

    Basal cell carcinoma is the commonest lid tumour, with pearly rolled edges.

  • C. Sebaceous gland carcinoma (correct)

    Correct. It is the great masquerader.

  • D. Capillary haemangioma

    Haemangioma occurs in infancy.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is C, Sebaceous gland carcinoma. Sebaceous carcinoma arises from meibomian glands and mimics chalazion or chronic blepharitis, with pagetoid spread.

Why is "Xanthelasma" not the answer?

Xanthelasma is a yellow plaque of lipid.

Why is "Basal cell carcinoma" not the answer?

Basal cell carcinoma is the commonest lid tumour, with pearly rolled edges.

Why is "Capillary haemangioma" not the answer?

Haemangioma occurs in infancy.

What concept does this question test?

It tests Eyelid: sebaceous carcinoma in Ophthalmology. It is aggressive and needs biopsy and wide excision.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Eyelid: sebaceous carcinoma?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.