Uterine Lipoleiomyoma- A Rare Case Report With Review of Literature

Abstract

BACKGROUND: Uterine lipoleiomyoma is uncommon and rare entity. Although presumed to be benign, it has been inadequately studied. Adipose tissue is infrequently found within uterine leiomyoma with unknown histogenesis, thus it is unusual and rare finding in routine histopathology practice. AIM: The observation of a case of lipoleiomyoma stimulated us to ascertain the real incidence of this lesion which is commonly considered to be rare. CASE SUMMARY: 36 year old female presented with mass per abdomen associated abnormal uterine bleeding since 3 months. She underwent hysterectomy without any complication. Grossly, uterus was enlarged and cut surface revealed well circumscribed grey white mass measuring around 5x3x2 cms with yellowish area. Section showed features of adipose tissue embedded within leiomyoma. DISCUSSION: The presence of fatty tissue in the myometrium is anomalous; this alteration has been interpreted either as a lipomatous degeneration or as a metaplasia of smooth muscle cells or, still, as a real neoplasm, frequently associated with a leiomyoma, the socalled lipoleiomyoma. CONCLUSION: lipoleiomyoma of the uterus is very rare benign tumor with unknown histogenesis and only few cases have been reported so far, thus it prompts us to present.