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Ophthalmology · Eyelid: basal cell carcinoma
Sample itemWhich is the commonest malignant tumour of the eyelid and its typical site?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Basal cell carcinoma of the lower lid
Basal cell carcinoma accounts for most eyelid malignancies, usually in the lower lid and medial canthus, with a pearly nodule and telangiectasia. It rarely metastasises but is locally invasive.
Option by option
A. Sebaceous carcinoma of the lower lid
Sebaceous carcinoma is more common in the upper lid.
B. Melanoma of the medial canthus
Melanoma is rare on the lid.
C. Basal cell carcinoma of the lower lid (correct)
Correct. BCC of the lower lid is commonest.
D. Squamous cell carcinoma of the upper lid
Squamous cell carcinoma is less common.
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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