The clinical, histological and electron microscopical findings of an adenocarcinoma of the caruncle are discussed. This type of adenocarcinoma differs neither in clinical development nor fine tissue structure from the adenocarcinoma of the Meibomian or Zeis's glands. Although, it seems to have a better prognosis than columnar cell carcinoma, radical excision and postoperative radiotherapy are recommended. The possibility of confusion with chronic inflammatory processes (chalazion) is pointed out.