De novo growth of a large preperitoneal lipoleiomyoma of the abdominal wall.
BACKGROUND
Extrauterine lipoleiomyomas are an uncommon finding, especially in the preperitoneum. These benign tumors have been attributed to seeding after surgical fibroid resection, exogenous hormonal therapy, or major disturbances in glucose metabolism.


METHODS
We are reporting the case of a postmenopausal woman without any history of gynecological surgery, hormonal therapy, or significant metabolic abnormality who developed a large, symptomatic, preperitoneal lipoleiomyoma requiring resection. The patient had an uneventful recovery with full resolution of her symptoms.


CONCLUSIONS
Our case relates the first description to our knowledge of the de novo growth of a large lipoleiomyoma in an incisional umbilical scar independent of gynecological pathology or hormonal influence.
Lalor
Peter F
PF
Department of Surgery, Lankenau Hospital, MOB Suite 422, 100 Lancaster Avenue, Wynnewood, PA 19096, USA. petelalor@hotmail.com
Uribe
Alexander
A
Daum
Gary S
GS
D000008:Abdominal Neoplasms / Q000473:pathology*; D000368:Aged; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology*; D008067:Lipoma / Q000473:pathology*; D010537:Peritoneum / Q000473:pathology