Lipoleiomyoma of uterus and lipoma of broad ligament-a rare entity

Wahal, Shailja Puri; Mardi, Kavita

doi:10.4103/0973-1482.136682

Cited by 8 publications

(10 citation statements)

References 7 publications

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“…Some associations are also reported such as: lipoleiomyoma and primary ovarian leiomyoma [7], lipoleiomyoma of uterus and lipoma of broad ligament [8]. In our case, lipoleiomyoma happened in a postmenopausal woman.…”

Section: Case Reportsupporting

confidence: 57%

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Uterine lipoleiomyoma: A case report and literature review

Fatnassi¹,

A²,

Turki³

et al. 2017

Clin Obstet Gynecol Reprod Med

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Uterine lipoleiomyoma is a rare type of leiomyoma consisting of smooth muscles and fat tissue. It is considered as the most common uterine tumor in the reproductive years. We report a 52-year-old multipara postmenopausal woman who presented an acute exacerbation of chronic pelvic pain. Ultrasound scan showed a 10 cm heterogenic lateral uterine mass. A primary diagnosis of teratoma was made and laparotomy was performed showing an anterior uterine wall mass. Histopathology examination showed mature lipoleiomyoma.

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Section: Case Reportsupporting

confidence: 57%

“…Histologically, LL is composed of benign smooth muscle cells and mature adipose tissue as was observed in our case ( Figure 3). Adipocytes may be regularly positioned within the tumor or may exhibit a focal location [8].…”

Section: Resultsmentioning

confidence: 99%

Uterine lipoleiomyoma: A case report and literature review

Fatnassi¹,

A²,

Turki³

et al. 2017

Clin Obstet Gynecol Reprod Med

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“… 1 This tumor was first described as a myolipoma of the soft tissue by Meis and Enzinger 5 in 1991. 6 Uterine lipoleiomyomas are composed of benign smooth muscle cells with distributed and scattered lobules of adipose tissue, and may be concentrated in only focal areas, showing whorling of the lesions. 7 There is no specific defined percentage of adipocytes that would enable a diagnosis of lipoleiomyoma.…”

Section: Discussionmentioning

confidence: 99%

“… 1 Uterine lipoleiomyomas are often diagnosed preoperatively as a uterine leiomyoma or a mature ovarian teratoma. 6 Accordingly, we also performed pelvic MRI and abdominal and pelvic CT. Although imaging studies play an important role in preoperative localization and diagnosis of a lipoleiomyoma, pathological evaluation must be performed to confirm the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Uterine Lipoleiomyoma in Peri or Postmenopausal Women

Cho

Han

et al. 2015

J Menopausal Med

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Lipoleiomyoma is an uncommon neoplasm of the uterus, composed of smooth muscles intermixed with mature adipocytes. These tumors are considered a benign variant of uterine leiomyomas. Herein, we report six cases of lipoleiomyoma experienced in our institution from January 2005 to March 2015. The patients ranged in age from 45 to 70 years; the etiology may be related to estrogen deficiency occurring after menopausal transition. Except for one lipoleiomyoma in the broad ligament, all others were found in the uterine corpus. The presenting symptoms were nonspecific, and most cases were incidentally diagnosed during surgery for other reasons. We performed preoperative imaging studies, including abdominal and pelvic computed tomography and magnetic resonance imaging. Preoperatively, four patients were diagnosed as having a pelvic mass and one patient was diagnosed as having a right ovarian mature teratoma. In one case, we found a gynecologic malignancy (cervical cancer 1A1). Histologically, there was no gross or microscopic contiguity between the lipoleiomyoma and the malignancy. Lipoleiomyomas seem to have a benign clinical course. In our study, there were no recurrences of or deaths attributed to the lipoleiomyomas during a mean follow-up period of 16.17 ± 23.80 months.

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“…In conclusion, uterine lipoleiomyomas are often diagnosed pre-operatively as leiomyomas or mature ovarian teratomas [ 7 ]. It is essential to distinguish leiomyomas from tumors for prevention from supererogatory surgery, because lipoleiomyomas require no treatment.…”

Section: Discussionmentioning

confidence: 99%

Uterin Lipoleiomyoma: MR Findings

et al. 2015

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SummaryBackgroundUterine lipoleiomyoma is a rare and specific type of leiomyoma.Case ReportA 60-year-old postmenopausal woman presented with abdominal pain. Her pelvic ultrasound demonstrated a normal- sized uterus with a well- circumscribed, heterogeneous mass located in the anterior corpus. A pelvic MRI revealed a mass including hyperintense areas on T1-weighted images and hypointense on fat-suppressed T1-weighted images, compatible with lipoleiomyoma.ConclusionsUterine lipoleiomyomas are often misdiagnosed pre-operatively and it is important to distinguish leiomyomas from other tumors for prevention from supererogatory surgery. Imaging plays an important role for the exact differentiation.

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Lipoleiomyoma of uterus and lipoma of broad ligament-a rare entity

Cited by 8 publications

References 7 publications

Uterine lipoleiomyoma: A case report and literature review

Uterine lipoleiomyoma: A case report and literature review

Uterine Lipoleiomyoma in Peri or Postmenopausal Women

Uterin Lipoleiomyoma: MR Findings

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