Spindle cell and pleomorphic lipoma are rare benign tumors of adipose
tissue. Their histogenesis is poorly understood and pleomorphic lipoma
has not previously been studied ultrastructurally. This study describ
es the morphology and ultrastructure of 6 cases of spindle cell and pl
eomorphic lipoma. Both spindle cell and pleomorphic lipomas showed sim
ilar ultrastructural features with an interrupted basal lamina, occasi
onal non-membrane-bound lipid vacuoles and abundant rER. In all the ca
ses mast cells were conspicuous and were intimately related to both sp
indle and pleomorphic cells. It is proposed that both the spindle and
pleomorphic multinucleated cells that characterize these tumors are pr
elipoblastic mesenchymal cells. The possible significance of an intera
ction between these cells and mast cells is discussed.