Abstract

A variety of tumors presumably arising from eccrine sweat glands and ducts may involve the palpebrai tissues. One sweat gland tumor not commonly encountered on the eyelids is composed primarily of cells with clear cytoplasm. Because of this morphologic feature these tumors have in the past been designated as clear cell papillary carcinoma, 1 clear cell myoepithelioma, 2 or clear cell hidradenoma. 3,4 A case of clear cell hidradenoma of the eyelid is reported because of its unusual clinical aspects and the difficulties encountered in the interpretation of a biopsy. Report of Case A 63-year-old retired white farmer had a tumor on the medial aspect of the right lower lid (Fig 1) for 15 years. During the six months prior to admission the lesion had increased rapidly in size. A biopsy was obtained on Sept 22, 1958, and the lesion interpreted as a sebaceous adenoma (Fig 2). However, clinically the

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