Commonest tumour at inner canthus of eye –
**Core Concept**
The inner canthus of the eye, also known as the medial canthus, is a common site for various types of tumors. The most common tumor in this location is typically a type of benign growth that arises from the sebaceous glands.
**Why the Correct Answer is Right**
The correct answer is a **Sebaceous Gland Carcinoma**. This type of tumor originates from the sebaceous glands located in the medial canthus. Sebaceous gland carcinomas are relatively rare but are the most common malignant tumors of the eyelid. They tend to occur in older adults and are often associated with a history of actinic damage, such as sun exposure. The tumor typically presents as a firm, painless nodule or mass in the medial canthus.
**Why Each Wrong Option is Incorrect**
* **Option A:** Basal Cell Carcinoma is a common skin cancer, but it is less common in the medial canthus compared to Sebaceous Gland Carcinoma. While it can occur in this location, it is not the most common tumor.
* **Option B:** Squamous Cell Carcinoma is another type of skin cancer that can occur in the medial canthus, but it is less common than Sebaceous Gland Carcinoma.
* **Option C:** Melanoma is a type of skin cancer that can occur in the eye, but it is relatively rare in the medial canthus.
**Clinical Pearl / High-Yield Fact**
Sebaceous gland carcinomas of the eyelid can be challenging to diagnose, as they may resemble benign conditions such as chalazia or blepharoconjunctivitis. Therefore, it is essential to consider this diagnosis in any patient presenting with a firm, painless nodule or mass in the medial canthus, especially if there is a history of actinic damage.
**Correct Answer: A. Sebaceous Gland Carcinoma**