The purpose of this report is to detail the clinical and histologic findings of a rare trichoadenoma of the eyelid. A 63-year-old male with a recurrent left lower eyelid lesion underwent a shave biopsy with inconclusive results until referred to an oculoplastic surgeon. The patient presented with a lesion suspicious for sebaceous cell carcinoma of the eyelid. An excisional biopsy was performed, and the specimen was sent for permanent section histologic analysis. The results revealed the lesion to be a trichoadenoma of the eyelid. The remaining lesion was excised, and the lower eyelid was reconstructed.
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