Malignant clear cell hidradenoma is a rare eccrine sweat gland neoplasm, probably not reported in the eyelids, although benign clear cell hidradenoma of the eyelid has been reported. A 65 year old lady presented to Ophthalmology outpatient department at Sri R L Jalappa hospital and research centre with a solitary mass over the right upper eyelid associated with mechanical ptosis. Clinical diagnosis was a puzzle because of the shiny pinkish epidermal surface. The tumour was excised. Histopathological examination revealed malignant clear cell hidradenoma. Review of literature revealed it to be an extremely rare neoplasm.

Key words: Malignant; Clear cell hidradenoma; Eyelid tumor; Neoplasm  
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