Do you mean that there is actually a shape object placed into Excel that you want to read? Or is it spatial information in the form of coordinates? If you have a sample Excel spreadsheet you can provide it would help.
It should be pretty easy to read coordinates and turn them into spatial features. Generally in FME we use a tool called Workbench to do that. If you then absolutely need to do the task programmatically, you can run the workspace using a method called iFMEWorkspaceRunner.
Check out the help and other information in <FME install folder>\\fmeobjects\\cpp - but seriously don't start trying to recreate the Excel reader in C++ unless there's a really good need for that. It's much easier to do in Workbench.