The most common and most likely answer to this crossword clue is the 10 letter word UNDERSKIRT
I've seen this crossword clue in The Guardian
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More clues leading to the result UNDERSKIRT
Buddy explains!

The straight part
We know that "item of 18" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case item of 18 = underskirt.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.
Crossword Answer definitions
UNDERSKIRT noun- A skirt worn underneath another skirt; a petticoat.
- An under layer of a multi-layer gown over which outer skirts are draped.