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Review
. 2014 Dec 4:2014:bcr2014207763.
doi: 10.1136/bcr-2014-207763.

Uterine lipoleiomyoma

Niharika Tyagi  1 , Raman Tyagi  2 , Yvette Griffin  2
Affiliations
Review

Uterine lipoleiomyoma

Niharika Tyagi et al. BMJ Case Rep. .

Abstract

We report a case of a patient who was found to have a uterine lipoleiomyoma on ultrasound and MRI, which was later confirmed with histological evidence. Uterine lipoleiomyomas are rare benign tumours that are often misdiagnosed on imaging, leading to unnecessary invasive procedures. Increased awareness of the tumour and its characteristics on imaging can aid future preoperative diagnosis.

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Figures

Figure 1
Figure 1
Transvaginal ultrasound of the pelvis demonstrating the presence of a hyperechoic solid mass within the lumen of the uterus measuring 5.5×4.6×4.1 cm. A thin rim of normal myometrium is seen enclosing the mass.
Figure 2
Figure 2
Transvaginal ultrasound of the pelvis showing the mass without markings.
Figure 3
Figure 3
T1 axial MRI of the pelvis demonstrating a 52×58 mm hyperintense mass within the uterus with some fatty component, surrounded by a thin layer of myometrium, consistent with a lipoleiomyoma.
Figure 4
Figure 4
T1 axial fat suppressed image of the pelvis showing uterine mass with signal drop consistent with fat density.
Figure 5
Figure 5
T2 saggital MRI of the pelvis showing T2 hyperintense mass within the uterine cavity consistent with hyperintense fibroid.
Figure 6
Figure 6
Occasional fat cells are seen admixed with the smooth muscle, a feature suggestive of a lipoleiomyoma (H&E ×40).
See this image and copyright information in PMC

References

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    1. Chawla A, Krantikumar R, Raut A et al. . Radiological case of the month. Appl Radiol 2004;33:38–40.
    1. Chu C, Tang Y, Chan T et al. . Diagnostic challenge of lipomatous uterine tumours in three patients. World J Radiol 2012;4:58–62. - PMC - PubMed
    1. Lee S, Chae H, Jeong B et al. . A clinical review of uterine lipoleiomyoma: a study for value and limitations of radiologic evaluation in preoperative diagnosis of lipoleiomyoma. Korean J Obstet Gynecol 2012;55:953–7.

MeSH terms