Lipoleiomyoma in a postmenopausal woman: an incidental finding
Keywords:Lipoleiomyoma, Menopause, Smooth muscle, Uterus
AbstractLipoleiomyomas are rare variants of uterine leiomyoma, in spite of relatively common occurrence of leiomyomas of uterus. Their reported incidence varies from 0.03 to 0.2%. These tumors generally occur in asymptomatic obese perimenopausal or menopausal women. The presence of fatty tissue in the myometrium is interpreted as lipomatous degeneration, smooth muscle metaplasia or as a benign tumour called as lipoleiomyoma. Imaging can play an important role in determining the intrauterine location and fatty nature of lipoleiomyomas but most of these are detected incidentally in histopathological findings postoperatively. We report a case of lipoleiomyoma in fundus of uterus in 61 years old postmenopausal female, who presented with on and off abdominal pain.
Kitajima K, Kaji Y, Imanaka K, Sugihara R, Sugimura K. MRI findings of uterine lipoleiomyoma correlated with pathological findings. AJR Am J Roentgenol. 2007;189:100-4.
Pounder DJ. Fatty tumours of the uterus. J Clin Pathol. 1982;35:1380-3.
Brandfass RT, Everts-Suarez EA. Lipomatous tumours of the uterus: a review of the world’ literature with report of a case of true lipoma. Am J Obstet Gynecol. 1955;70:359-67.
Oh MH, Cho IC, Kang YL, Kim CY, Kim DS, Cho HD, et al. A case of Retroperitoneal lipoleiomyoma. J Korean Med Sci. 2001;16:250-2.
Rollasson TP, Wilkinson N. Non neoplastic conditions of myometrium and pure mesenchymal tumours of the uterus. In: Fox H, Wells M, eds. Haines and Taylor Obstetrical and Gynaecological Pathology. 5th ed. Edinburgh: Churchill Livingstone; 2003: 531.
Lin M, Hanai J. Atypical lipoleiomyoma of the uterus. Acta Pathol Jpn. 1991;41:164-9.
Lin KC, Sheu BC, Huang SC. Lipoleiomyoma of the uterus. Int J Gynaecol Obstet. 1999;67:47-9.