An 82-year-old woman had experienced progressive enlargement of a long
-standing left upper lid mass for 3 weeks. The superior visual field w
as compromised secondary to mechanical ptosis from this lid lesion. Co
mputed tomography showed a large lid mass with a low density signal, s
imilar to intraorbital fat. The tumor was completely excised. Histopat
hologic examination showed an encapsulated tumor composed of mature ad
ipose tissue interspersed with fibrovascular septa containing spindle-
cells, confirming a diagnosis of spindle-cell lipoma.