title: Uterine Lipoleiomyoma in Peri or Postmenopausal Women.
abstract: Lipoleiomyoma is an uncommon neoplasm of the uterus, composed of smooth muscles intermixed with mature adipocytes. These tumors are considered a benign variant of uterine leiomyomas. Herein, we report six cases of lipoleiomyoma experienced in our institution from January 2005 to March 2015. The patients ranged in age from 45 to 70 years; the etiology may be related to estrogen deficiency occurring after menopausal transition. Except for one lipoleiomyoma in the broad ligament, all others were found in the uterine corpus. The presenting symptoms were nonspecific, and most cases were incidentally diagnosed during surgery for other reasons. We performed preoperative imaging studies, including abdominal and pelvic computed tomography and magnetic resonance imaging. Preoperatively, four patients were diagnosed as having a pelvic mass and one patient was diagnosed as having a right ovarian mature teratoma. In one case, we found a gynecologic malignancy (cervical cancer 1A1). Histologically, there was no gross or microscopic contiguity between the lipoleiomyoma and the malignancy. Lipoleiomyomas seem to have a benign clinical course. In our study, there were no recurrences of or deaths attributed to the lipoleiomyomas during a mean follow-up period of 16.17 ± 23.80 months.
authors.affiliation: Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Busan, Korea.
authors.forename: So Ra
authors.initials: SR
authors.lastname: Oh
authors.affiliation: Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Busan, Korea.
authors.forename: Yeon Jean
authors.initials: YJ
authors.lastname: Cho
authors.affiliation: Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Busan, Korea.
authors.forename: Myoungseok
authors.initials: M
authors.lastname: Han
authors.affiliation: Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Busan, Korea.
authors.forename: Jong Woon
authors.initials: JW
authors.lastname: Bae
authors.affiliation: Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Busan, Korea.
authors.forename: Jung-Woo
authors.initials: JW
authors.lastname: Park
authors.affiliation: Department of Pathology, Dong-A University College of Medicine, Busan, Korea.
authors.forename: Seo-Hee
authors.initials: SH
authors.lastname: Rha
keywords: Leiomyoma; Myofibroma; Perimenopause; Postmenopause; Uterus