Premenopausal and Postmenopausal Uterine Lipoleiomyoma; A Report of Two Cases

Abstract

Background & Objective: Uterine lipoleiomyoma are extremely rare variants of leiomyoma.

Postmenopausal women frequently develop these types of tumors. but we also have a case of pre-menopausal

woman. Ultrasound and CT scan findings may be nonspecific, but The use of MRI prior to surgery can be

beneficial in detecting fatty tissue in the lesion. Diagnosis is usually confirmed postoperatively through

histopathological examination.

Methods: Two cases were reported. A 60 years old postmenopausal woman with mass in the abdomen

presented at Jinnah Hospital Lahore with differential diagnosis of Ovarian teratoma, Leiomyoma sarcoma,

non-teratomatous lipomatous ovarian tumor, pelvic sarcoma, and lipomatous malignancy. Another case was

reported involving a premenopausal woman who was 53 years old and presented with pelvic pain, irregular

bleeding and a mass in the lower abdomen.

Result: Postoperative excision biopsy report showed a rare pathology of Lipoleiomyoma.

Conclusions: Lipoleiomyomas are clinically rare with most common occurrence in uterine corpus. They

have excellent prognosis and but a long-term follow- up of patients is required to observe its potential for

coexisting malignancies and metabolic disorders.