is a rare tumor of the eyelid and periocular skin. • Basaloid cells should constitute at least 50% of the cells in solid lesions, in contrast to the more differentiated sebaceous adenoma, which has a single outer layer of basaloid cells in a regular lobular architecture. • Like sebaceous adenoma, sebaceoma may be associated with the Muir-Torre syndrome. Novel Insights • Sebaceomas may arise in the Meibomian glands, as it did in a 74-year-old man. • The morphology of this tumor can be highly variegated, with interconnecting cords of haphazardly arranged basaloid and sebaceous cells (sebocytes) in a cystic cavity, as in the present case. • In the current case, both a positive family history and mismatch repair defects in the patient's protein expression for MLH1 and PMS2 were factors, indicating that eyelid sebaceoma can potentially be associated with the Muir-Torre syndrome.