Vascular Lipoleiomyoma of the Uterus: an Unusual Case

Uterine lipoleiomyomas are a rare type of uterine myomas, which have been seldom diagnosed and are less known and still unusual. Histologically they are composed of smooth muscle cells with multiple fat cells and fibrous tissue. Their pathogenesis is still a stigmata and their preoperative diagnosis...

Full description

Saved in:
Bibliographic Details
Published in:Medicinski arhiv 2016-12, Vol.70 (6), p.473-476
Main Authors: Chibisheva, Vesna, Antovska, Vesna, Trajanova, Milka, Dabeski, Drage, Jovanovic, Rubens, Kijajova, Ivana
Format: Article
Language:English
Subjects:
Adult
Case Report
Diagnosis, Differential
Female
Humans
Leiomyoma - diagnosis
Leiomyoma - diagnostic imaging
Leiomyoma - therapy
Tomography, X-Ray Computed
Ultrasonography
Uterine Neoplasms - diagnosis
Uterine Neoplasms - diagnostic imaging
Uterine Neoplasms - therapy
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Uterine lipoleiomyomas are a rare type of uterine myomas, which have been seldom diagnosed and are less known and still unusual. Histologically they are composed of smooth muscle cells with multiple fat cells and fibrous tissue. Their pathogenesis is still a stigmata and their preoperative diagnosis is still questionable. A 39-year old woman presented at the University clinic for obstetrics and gynecology with complaints of a mild low abdominal and pelvic pain, increased frequency of vaginal bleeding and abdominal distension. Ultrasound examination showed dislocated uterus by a large semisolid tumor, located between the uterus and the urinary bladder. This mass was not well defined and had great vascularity. Pelvic computerized tomography revealed a large heterogeneous tumor located behind the bladder, measuring 8.5x7.5cm in size, making compression on the other pelvic organs. We should pay more attention on the preoperative imaging studies, in order to select patients who require surgery and further treatment more appropriately.
ISSN:0350-199X
1986-5961
DOI:10.5455/medarh.2016.70.473-476