Pure lipoma of the uterus: a rare case report.
Pure fatty tumors of the uterus are exceedingly rare. The more common lipomatous tumor is lipoleiomyoma with varying amounts of two components. Most are post-operative chance findings following hysterectomy for leiomyoma. Computed Tomography and Magnetic Resonance Imaging can assist in pre-operative diagnosis. A 60 year old post-menopausal woman presented with a mass per abdomen. Ultrasound revealed fibroid uterus with lipomatous areas. The hysterectomy specimen showed a pure intramural lipoma of the uterus. As clinical symptoms and signs of uterine lipoma are indistinguishable from uterine leiomyoma, various imaging techniques can aid in pre-operative diagnosis. The diagnosis of pure lipoma of the uterus should only be made when any smooth muscle if present is confined to the periphery of the tumor.
Fernandes
Hilda
H
Department of Pathology, Fr Muller Medical College, Mangalore, Karnataka. hilda67@rediff.com
Naik
C N Ramesh
CN
Swethadri
G K
GK
Bangera
Indira
I
Miranda
Daphne
D
D000005:Abdomen / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000175:diagnosis / Q000473:pathology; D008067:Lipoma / Q000175:diagnosis* / Q000473:pathology*; D008875:Middle Aged; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000473:pathology*; D014599:Uterus / Q000473:pathology