Purpose : To analyze the data regarding the demography , relative frequency and histopathological profile of eyelid malignancies in a tertiary care centre in North Eastern India. Study design : Observational study conducted for a period of 1 year from April 2018 to March 2019 in the Department of Pathology , GMCH. Subjects and methods : Patients with definite eyelid masses / suspicious tumours involving the eyelid and excised tissue masses sent for histopathological examination were selected for the study. Results : A total of 60 cases were evaluated , of which 15 cases (25%) were malignant eyelid tumours. The most frequent malignant tumours included Basal cell carcinoma and Sebaceous gland carcinoma. Single case each of squamous cell carcinoma and adenoid cystic carcinoma were also included. The most common age group for malignant tumours was 61 – 70 years with the mean age at presentation being 60.5 years. Conclusion : Basal cell carcinoma was the most common malignant tumour in this part of the country although , the incidence of Sebaceous carcinoma is also quite high in this region , only next to basal cell carcinoma.