Step 1: Muir-Torre syndrome is an autosomal dominant genetic disorder and a variant of hereditary nonpolyposis colorectal cancer (Lynch syndrome), caused by DNA mismatch repair gene defects.
Step 2: Its defining cutaneous feature is the sebaceous neoplasm - sebaceous adenoma, sebaceous epithelioma, sebaceous carcinoma, or keratoacanthoma. The sebaceous (keratoma) tumors are the skin marker, so option a is correct.
Step 3: These skin tumors are associated with internal visceral malignancies, especially colorectal and genitourinary cancers, which is why recognizing them matters clinically.
Step 4: Why the distractors are wrong: Lisch nodules are iris hamartomas of neurofibromatosis type 1, intestinal polyps point to polyposis syndromes like Peutz-Jeghers or FAP, and hyperelastic joints suggest Ehlers-Danlos syndrome. None of these defines Muir-Torre.