Review Article

Skeletal Radiology

, Volume 43, Issue 5, pp 591-597

First online:

Imaging characteristics of spindle cell lipoma and its variants

  • Alla KhashperAffiliated withDepartment of Radiology, McGill University Health Centre Email author 
  • , Jiamin ZhengAffiliated withDepartment of Radiology, McGill University Health Centre
  • , Ayoub NahalAffiliated withDepartment of Pathology, McGill University Health Centre
  • , Federico DiscepolaAffiliated withDepartment of Radiology, Jewish General Hospital

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A spindle cell lipoma (SCL) is a relatively common tumor that can be challenging to the radiologist, pathologist, or surgeon to diagnose, particularly when internal fat content is scant or absent. Although these lesions may be found at various locations, the typical presentation for this lesion is a well-circumscribed and non-aggressive subcutaneous mass in the posterior neck presenting in a middle-aged to elderly man. In this article, the typical and atypical imaging characteristics of a spindle cell lipoma (SCL) will be reviewed. Knowledge of the common imaging and pathologic features of SCLs can help suggest the diagnosis and guide patient management.


Spindle cell lipoma Lipomatous tumor Fat-containing lesion Non-adipose component Soft tissue