Malignant sweat gland tumors are rare tumors of the extremity. Their insidi
ous growth patterns and often confusing pathological characteristics can ca
use confusion with more common benign tumors. However, these tumors cannot
be neglected because they do have a propensity to metastasize. Presented is
a 56-year-old woman with a malignant clear-cell hidradenoma of the foot ac
tually presenting as a benign lesion.