Lipomun Nadir Lokalizasyonu: Tuba Uterina
Fallop tüpünün primer benign tümörleri nadirdir. Lipom, tüm vücutta görülen çok yaygın benign bir tümör olmasına rağmen fallop tüpünde oldukça nadir görülür. Derin yerleşimli lipomatöz tümörler genellikle liposarkom özelliğinde olduğudan ayrıcı tanısı dikkatlice yapılmalıdır. Fallop tüpünün lipomu genellikle başka hastalıklara bağlı histerektomi sonrasında raslantısal olarak görülmektedir. Bu nedenle tuba ve çevresindeki yağlı doku dikkatlice incelenmelidir. Bu yazıda akut batın tablosu ile acil servise başvuran, overde 25 cm kitle nedeniyle opere edilen ancak biyopsi materyalinin histopatolojik incelemesi sonucunda torsiyone over dokusu ve fallop tüpünün lipomu olduğu saptanan 45 yaşındaki kadın hasta sunuldu.
Rare Localization of Lipoma: Tuba Uterina
Primary benign tumors of the fallopian tube are rare. Lipoma is a very common benign tumor that occurs throughout the body but it is extremely rare in the fallopian tube. Since deeply located lipomatous tumors are usually liposarcoma, their differential diagnosis should be made carefully. Lipoma of the fallopian tube is usually seen incidentally after hysterectomy due to other diseases. Therefore, the tube and surrounding fatty tissue should be carefully examined. In this article, a 45-year-old female patient who was admitted to the emergency department with acute abdomen, was operated due to a mass of 25 cm in the ovary, but was found to have torsioned ovarian tissue and fallopian tube lipoma as a result of histopathological examination of the biopsy material.
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- 1. Rosai J. Soft Tissues. In: Rosai and Ackerman's surgical pathology Elsevier Health Sciences; 2011. p. 2140
- 2. Roberts CL, Marshall HK. Fibromyoma of the fallopian tube. Report of a case and review of the literature. Am J Obstet Gynecol. 1961 Aug;82:364-6.
- 3. Misao R, Niwa K, Iwagaki S, Shimokawa K, Tamaya T. Leiomyoma of the fallopian tube. Gynecol Obstet Invest. 2000;49(4):279-80.
- 4. Akbulut M, Bir F, Yildirim B, Akman H. Lipoma of the fallopian tube. Aegean Pathology Journal. 2005;2:1-3.
- 5. Krutsay M. A méhkürt lipomája [Lipoma of the Fallopian tube]. Magy Onkol. 2008 Mar;52(1):71-3.
- 6. Kurman RJ. Other bening mesenchymal and mixed epithelial-mesenchymal tumors. In: Blaustein's pathology of the female genital tract: Springer Science & Business Media; 2013. p. 545-7.
- 7. Alper M, Aksoy KA, Somunkiran A, Belenli OK. Morgagni cyst within tubal lipoma. Ceska Gynekol. 2005 Mar;70(2):159-60.
- 8. Carinelli I, Senzani F, Bruni M, Cefis F. Lipomatous tumours of uterus fallopian tube and ovary. Clin Exp Obstet Gynecol. 1980;7(4):215-8.
- 9. Wardelmann E, Hartmann W. Tumoren mit prädominant adipozytärer Morphologie [Tumors with predominantly adipocytic morphology]. Pathologe. 2019 Jul;40(4):339-352.