Trichoblastoma of the eyelid: Rare or underdiagnosed!

Trichoblastoma (TBL) of the eyelid is a rare and underreported entity. This is a case of a 65-year-old male who presented with a hyperpigmented eyelid mass. He underwent excision and histopathological analysis, which led to the diagnosis of TBL of the lower eyelid. His post-operative wound healing was good with no local recurrence on follow-up over a period of 6 months. One of the important differential diagnoses of TBL is basal cell carcinoma. The management of both entities differs since the latter is locally invasive. This case highlights the importance of wide excision of such eyelid masses and their histopathological analysis.