Abstract

REYNA-VILLASMIL, Eduardo; RONDON-TAPIA, Martha  and  TORRES-CEPEDA, Duly. Uterine lipoleiomyoma. Rev. peru. ginecol. obstet. [online]. 2022, vol.68, n.3, 00014.  Epub Sep 22, 2022. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v68i2438.

Lipoleiomyoma is a rare benign uterine neoplasm whose incidence varies between 0.03%-0.2%. This tumor is considered a benign variant of typical uterine leiomyomas. It consists of a variable proportion of mature adipocytes and smooth muscle cells. The etiology may be related to estrogen deficiency occurring after the menopausal transition; it usually appears in obese perimenopausal or menopausal women. The symptomatology is nonspecific, and most are diagnosed incidentally. We present a case of uterine lipoleiomyoma in a 45-year-old patient who consulted for abdominal pain. Ultrasonography showed a tumor in the anterior wall of a homogeneous and well-defined uterus. During laparotomy, a yellowish tumor with a soft texture was found. Total hysterectomy plus oophorosalpingectomy was performed. The anatomopathologic diagnosis was uterine lipoleiomyoma.

Keywords : Lipoleiomyoma; Uterine tumor; Adipocytes; Smooth muscle tumor.

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