Giant lipoleiomyoma of the uterine corpus

Akbulut, Metin; Soysal, Mehmet Emin; Duzcan, Suleyman Ender

doi:10.1007/s00404-008-0580-0

Cited by 18 publications

(20 citation statements)

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“…The evidence of the presence of neutral lipids, not only in adipose cells, but also in the vascular lumen of the hyalinized leiomyoma, can support the suggestion of the role of lipid and other metabolism disturbances which are observed during the postmenopausal period [4,11,27]. Therefore, it is necessary to perform prospective, anthropologic, biochemical, and pathological investigations in female patients with uterine myomas.…”

Section: Discussionmentioning

confidence: 81%

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Investigations on uterine fatty lesions

Sośnik¹,

Sośnik²

2013

pjp

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Uterine fatty lesions (UFLs) continue to arouse great interest because of their rare occurrence and unknown histogenesis. The aim of the study was to determine the occurrence of UFLs and the dynamics of their development, as well as to evaluate the histopathology and relationship with regressive stromal changes. 3750 uterine specimens were reviewed during the period between 1984 and 2003. In the examined series of 3750 uteruses removed due to tumors or prolapse, 50 cases with four types of changes were chosen: adipocytic metaplasia of primary uterine leiomyomas (70% of cases), adipocytic metaplasia of interlobular stroma of primary uterine tumors (16%), adipocytic aggregates in the uterine muscle (8%), and pure lipomas (6%). Additionally, the cases were divided into three groups depending on the extent of fatty changes. Group 1 (48% of cases) consisted of cases in which less than 25% of the changes were present in the examined material. In group 2 (28% of cases) the fatty changes were between 25 and 50%. In group 3 (16% of cases) fatty changes constituted more than 50% of the examined specimen. The extent of adipocytic changes was connected with patient age, being significant between groups 1 and 3 (p < 0.01). Regressive stromal changes in leiomyomas occurred more often in middle-aged patients, with stage 2 lipomatosis than in other subgroups. Among 46 cases of UFLs two patients were diagnosed with a coexisting malignant uterine neoplasm (4.35%). In four patients with muscular lipomatosis, two were diagnosed with a coexisting malignant uterine tumor too (50%). Conclusions: 1. Uterine fatty lesions are rarely diagnosed, although they occur more often than previously thought. 2. Mixed tumors predominate over pure lipomas. 3. The histogenesis of these lesions seems to be multi-factorial, considering the different types of UFLs. 4. The extent of uterine fatty metaplasia positively correlated with the age of operated women. 5. The coexistence of UFLs with other malignant uterine neoplasms is accidental.

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Section: Discussionmentioning

confidence: 81%

“…According to Akbulut et al [27], their prevalence ranged between 0.03% and 0.8%. Considering our own material, UFLs were diagnosed in 1.33% of cases.…”

Section: Discussionmentioning

confidence: 98%

Investigations on uterine fatty lesions

Sośnik¹,

Sośnik²

2013

pjp

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“…Büyüklükleri 3 mm ile 32 cm arasında değişmektedir. Literatürde dev lipoleiomyom olguları da bildirilmiştir (9) . Olgumuz serviks uteri lokalizasyonlu olup; büyüklük olarak literatür bilgileriyle uyumluydu.…”

Section: Discussionunclassified

Lipoleiomyoma of the Uterine Cervix: A Case Report

Erhan¹,

Keser²,

Boy³

et al. 2017

Okmeydani Medical Journal

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“…The reported incidence of uterine lipomatous tumours ranges from 0.03% in hysterectomy specimens to 0.20% in uterine leiomyomas [2,3]. Tumour size can vary from 3 mm to 55 cm, and may be associated with metabolic disorders such as hypothyroidism and diabetes mellitus [4]. On ultrasonography, lipomatous tumours can have variable echogenicity.…”

Section: Diagnosis: Lipoleiomyomamentioning

confidence: 99%