Microscopy of the eyelid lesion demonstrated an exophytic neoplasm situated principally within the cutaneous compartment that was composed of multiple, irregularly shaped, closely packed, circumscribed sebaceous lobules, separated by compressed, dermal connective tissue septa (Figure 2A). The lobules communicated with the epidermal surface via several openings. Each lobule was composed of a peripheral, mitotically active basaloid germinative layer, which exhibited moderate cytologic atypia maturing to vacuolated sebocytes centrally, with transitional forms seen (Figure 2B). The mature, central sebocytes comprised most of the lesional tissue. Variable eosinophilic holocrine degeneration was seen. No convincing cystic change was identified. There was no evidence of an infiltrative growth pattern, pagetoid lesions, mitotic figures, or lymphovascular space invasion. The eyelid tissue adjacent to the lesion exhibited patchy, focal lipogranulomatous inflammation, constituting secondary chalazion formation. The cheek lesion demonstrated histologic features identical to those described herein (Figure 2A and 2B). The circumscription, mature sebaceous phenotype, lack of infiltrative borders, absence of aberrant mitotic figures, and necrosis of both lesions supported the diagnosis of benign sebaceous adenomas.