Spindle cell lipoma of the scalp - A case report and review

Cutaneous surgeons frequently evaluate and manage soft tissue tumors arisin g on the head and neck of adults. Of these, the most common tumor is the li poma, and specific mesenchymal variants of lipoma occur classically on the head and neck. We describe a case of a large spindle cell lipoma of the pos terior scalp, in order to highlight the classic location and differential d iagnosis of the lipoma variants presenting commonly in this anatomic region . In addition, we review the role of preoperative imaging studies of scalp soft tissue tumors and discuss how imaging may assist the dermatologic surg eon in establishing the diagnosis and designing a rational surgical approac h.