Patient A 60-year-old woman was evaluated for a nodular tumor in her right
upper eyelid, which has developed over the last four years. The tumor measu
red 10x8 mm and was ulcerated. The patient's ophthalmologic und medical his
tory was normal. Clinically, a basal cell carcinoma was suspected, and an e
xcision was carried out under local anaesthesia. The histopathology was sug
gestive for an eccrine spiradenoma.
Conclusion Eccrine spiradenomas rarely involve the eyelids. This tumor repr
esents a benign, usually painfull, sweat gland tumor. The possibility of sw
eat gland tumor should be kept in mind in the diagnosis of eyelid tumors. T
he complete excision is the only therapeutic option.