Postmenopausal Uterin Lipoleiomyoma: A Case Report

Uterin primer lipoleiomyomlar oldukça ender görülen benign tümörlerdir. Genellikle perimenopozal ve postmenopozal obez kadınlardagörülürler. Tümör çapının ortalama 5-10 cm olduğu bildirilmiştir. Çoğu asemptomatiktir ve tesadüfen teşhis edilir. Tümörün kesin tanısıpatolojik incelemeye dayanmaktadır. Histerektomi tercih edilen tedavi yöntemidir. Klinik olarak leiomyoma benzerler. Postmenopozalkanama nedeniyle başvuran ve histerektomi sonrası lipoleiomyom tanısı alan olguyu sunduk.

Postmenopozal Uterin Lipoleiomyom: Olgu Sunumu

Primary uterine lipoleiomyoms are extremely benign tumors. They are usually seen in perimenopausal and postmenopausal obese women.Average tumor size is reported to be 5 to 10 cm. Most are asymptomatic and diagnosed incidentally. The accurate diagnosis of tumors isbased on pathological examination. Hysterectomy is the preferred method of treatment. Clinically, they are similar to leiomyomas. Here wepresent a case with postmenopousal bleeding due to lipoleiomyoma.

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1. Kitajima K, Kaji Y, Imanaka K, Sugihara R, Sugimura K. MRI findings of uterine lipoleiomyoma correlated with pathological findings. AJR Am J Roentgenol 2007;189:100- 4.
2. Kumar S, Garg S, Rana P, Hasija S, Kataria SP, Sen J. Lipoleiomyoma of Uterus: Uncommon Incidental Finding. Gynecol Obstet 2013;3(2):145.
3. Ding DC, Chu TY, Hsu YH. Lipoleiomyoma of the uterus. Taiwan Obstet Gynecol 2010;49(1):94-6.
4. Sudhamani S, Agrawal D, Pandit A, Kiri VM. Lipoleiomyoma of uterus: a case report with review of literature. Indian J Pathol Microbiol 2010;53(4):840-1.
5. Manjunatha HK, Ramaswamy AS, Kumar BS, Kumar SPA, Krishna S. Lipoleiomyoma of uterus in a postmenopausal woman. J Midlife Health. 2010;1(2):86-8.
6. Aung T, Goto M, Nomoto M, Kitajima S, Douchi T, Yoshinaga M et al. Uterine lipoleiomyoma: a histopathological review of 17 cases. Pathol Int 2004;54(10):751-8.
7. Ghosh B, Mckeown B, Gumma A. Lipoleiomyoma. BMJ Case Reports 2011;
8. Aizenstein R, Wilbur AC, Aizenstein S. CT and MRI of uterine lipoleiomyoma. Gynecol Oncol 1991;40:274-6.
9. Çendek BD, Avşar AF, Yazgan A. Uterusun nadir görülen mezenkimal tümörü. Türkiye klinikleri J Gynecol Obst 2014;24(1):52-7.
10. Pounder DJ. Fatty tumours of the uterus. J Clin Pathol 1982;35:1380-3.
11. Lau LU, Thoeni RF. Uterine lipoma: Advantage of MRI over ultrasound. Br J Radiol 2005;78:72-4
12. Lin M, Hanai J. Atipical lipoleiomyoma of the uterus. Acta Pathol Jpn. 1991;41:164-9.
13. Wang X, Kumar D, Seidman JD. Uterine lipoleiomyomas: A clinicopathologic study of 50 cases. Int J Gynecol Pathol 2006;25(3):239-42.