A 72-year-old female patient was admitted to our hospital with a rapidly growing left eyelid mass. Other ocular findings were normal. Excision biopsy and a cytological study were performed. Histopathology of the excised tissue showed malignant cells in extracellular lumens and glands with prominent micronuclei and mitotic figures. The tissue was also strongly positive for cytokeratin. As a result, of these fingings primary eyelid hidradenocarcinoma was diagnosed. This case demonstrates that hidradenocarcinoma should be considered in the differential diagnosis of primary eyelid tumors.