Meibomian gland carcinoma initially identified by cytology

A 60-year-old female presented with a growing tumor of her left upper eyelid of 6 mo duration. The fine-needle aspiration cytology (FNAC) report was consistent with the clinical diagnosis of meibomian gland carcinoma, which was subsequently confirmed by histopathologic examination of tumor tissue. Exenteration was performed following a course of radiotherapy. There was no sign of recurrence after a follow-up period of 6 mo.