When is biopsy necessary in pelvic lipomatosis?

Hatten, H P; Chuang, Vincent P.; Rosenbaum, Harold D.

doi:10.1016/0090-4295(77)90363-6

Cited by 9 publications

(2 citation statements)

References 13 publications

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“…Some authors (13,14,18,21) claim that these findings are pathognomonic for pelvic lipomatosis while others (19,20) advocate surgical biopsy to confirm the diagnosis. Similar radiographic appearances have been reported when other large mass lesions of both lipomatous and non-lipomatous origin occupy the pelvis such as liposarcoma (7), Iipoplastic lymphadenopathy (17), perivesical hematoma (24), malignant lymphoma (17) and extensive carcinoma of the prostate with lymph node involvement (19).…”

Section: Discussionmentioning

confidence: 99%

Computed Tomography of Pelvic Lipomatosis

Bååth¹,

Nyman²,

Aspelin³

et al. 1986

Acta Radiologica. Diagnosis

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Pelvic lipomatosis is a non-malignant condition of unknown etiology characterized by an overgrowth of non-encapsulated fatty tissue in the perirectal and perivesical spaces of the pelvis. The symptoms are generally vague and the condition is often diagnosed accidentally. It may cause obstruction of the ureters, inferior vena cava and pelvic veins and may be associated with cystitis glandularis. The typical conventional radiographic findings, though not pathognomonic, are a high-positioned and pear-shaped bladder, tubular narrowing of the rectum and distal sigmoid colon and reduced attenuation of the pelvic soft tissues. Computed tomography demonstrates a non-encapsulated fatty mass surrounding the pelvic organs symmetrically and with an attenuation similar to that of subcutaneous fat. The fatty tissue may contain strands with a higher attenuation than that of fat. The findings at computed tomography seem to be pathognomonic for this condition and eliminate the need for routine surgical biopsies.

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Section: Discussionmentioning

confidence: 99%

Computed Tomography of Pelvic Lipomatosis

Bååth¹,

Nyman²,

Aspelin³

et al. 1986

Acta Radiologica. Diagnosis

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“…Evident hydronephrosis and hydroureter and medial deviation of ureters are occasionally observed (1 1). Exploratory laparotomy, which used to be performed for the diagnosis, yielded few characteristic findings in most cases and there can be as high as a 10%risk of post-operative thrombophlebitis owing to impaired pelvic venous return (13), so that this procedure is considered to be justified only when malignancy is strongly suggested (14). Recently, CT scans are considered to be the most effective and indispensable examination.…”

mentioning

confidence: 99%

A Case of Pelvic Lipomatosis Presenting with Edema of the Lower Extremities.

et al. 1991

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Wereport a 29-year-old male with pelvic lipomatosis that presented with edema of the lower extremities. The patient visited our department because of the marked edema of the lower extremities with body weight gain. The pelvic region was generally radiolucent on plain abdominal radiogram. Excretory urogram and pelvic computed tomography scan revealed compression of the bladder by an adipose tissue mass. On lymphograms, lymph vessels were compressed from the inguinal area in the commoniliac region. The edema of the lower extremities was thought to be caused by lymph vessel obstruction.

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Ultrasonographic features of pelvic lipomatosis

Hatten

1980

Urol Radiol

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When is biopsy necessary in pelvic lipomatosis?

Cited by 9 publications

References 13 publications

Computed Tomography of Pelvic Lipomatosis

Computed Tomography of Pelvic Lipomatosis

A Case of Pelvic Lipomatosis Presenting with Edema of the Lower Extremities.

Ultrasonographic features of pelvic lipomatosis

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