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