Uterine lipoleiomyoma in an elderly patient: a case report.
BACKGROUND
Uterine lipoleiomyoma is a rare, fat-containing, benign tumor. The clinical features and optimal treatment of this tumor remain unclear.


METHODS
An 80-year-old woman with an extensive cardiac history was referred for assessment of a huge pelvic mass. Magnetic resonance imaging demonstrated a uterine tumor with inhomogeneously high signal intensity. A fat suppression technique showed heterogeneous suppression of the signal intensity, with areas of increased enhancement after Gd-DTPA administration. Hysteroscopy revealed no abnormal findings in the endometrium. She underwent a simple total abdominal hysterectomy, with a preoperative diagnosis of uterine liposarcoma. Histological examination revealed a uterine lipoleiomyoma. Ten days after surgery, she died due to acute non-occlusive mesenteric ischemia.


CONCLUSIONS
In cases where the radiological appearance of a uterine tumor in an elderly patient is suspicious for liposarcoma, the possibility of a benign lipoleiomyoma should be considered. Careful consideration of the patient's preoperative condition and familiarity with uterine fat-containing tumors are essential for determining an optimal therapeutic approach.
Fujiwaki
Ritsuto
R
Department of Obstetrics and Gynecology, Matsue Red Cross Hospital, Matsue, Japan. fuji39@circus.ocn.ne.jp
Ohnuma
Hideyuki
H
Miura
Hiroshi
H
Sawada
Kohji
K
D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000601:surgery; D008067:Lipoma / Q000175:diagnosis* / Q000601:surgery; D008080:Liposarcoma / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000601:surgery