Eccrine acrospiroma of eyelid with malignant transformation-a case report and review of literature

The aim of this article is to present a clinico-pathological case report of a sweat gland tumor of eyelid that rarely undergoes malignant transformation. A 60-year-old woman presented with a painful ulcerated nodule on her eyelid which was excised with wide margins under frozen section control. The mass was sent for histopathology and after confirming tumor free margins, lid reconstruction was done by procuring a glabellar flap. Routine histopathology was diagnostic of Eccrine Acrospiroma with malignant transformation. Metastatic work up in the patient was within normal limits. The glabellar flap was healthy and no recurrence noted at one year of follow-up.