A 47-year-old man presented to the otolaryngologist with a 7-year history o
f a mass of the cheek. Fine-needle aspiration revealed foci of spindled cel
ls admired with abundant fat and myxoid material. A diagnosis of spindle ce
ll lipoma was rendered on the resected specimen. The cytologic findings of
spindle cell lipoma of the parotid gland as seen by fine-needle aspiration
are presented along with the histologic correlates.