A case of large cervical lipoleiomyoma simulating malignancy: an intraoperative dilemma


  • Priti Agrawal Department of Obstetrics and Gynecology and Infertility, Raipur, Chattisgarh, India http://orcid.org/0000-0003-3969-8592
  • Rishi Agrawal Department of General and Laparoscopic Surgery, Aarogya Hospital and test tube baby center, Raipur, Chattisgarh, India
  • Anandi Lobo Department of Pathology, Aarogya Hospital and test tube baby center, Raipur, Chattisgarh, India




Lipoleiomyoma, Leiomyoma, Uterus, Cervix


Primary lipomatous tumors of the uterus are very unusual benign neoplasms with an incidence of 0.03% to 0.2%. Most commonly described in the uterine corpus, lipoleiomyomas (LLM) have been reported in cervix, broad ligament and retro peritoneum. Here we report a case of perimenopausal women with cervical LLM which was highly friable simulating cervical malignancy, creating an intraoperative dilemma. A 45 year old perimenopausal woman presented with severe abdominal pain with difficulty in passing urine and motion, excessive bleeding per vaginum with increased frequency of menses, since 6 months. Ultrasonography revealed a well-defined rounded to oval heterogeneous hyperechoic lesion with minimal vascularity measuring 10.4×11.0×7.7 cm, volume-469 cc, probably arising from anterior lip of cervix. Patient was taken for laparotomy. Intraoperative friability and vascularity of the mass was suggestive of malignancy. LLM, if asymptomatic, requires no treatment. But symptomatic cases require surgical management.


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