LIPOLEIOMYOMA: A RARE BENIGN NEOPLASIA. · LIPOLEIOMYOMA: A RARE BENIGN NEOPLASIA. Copado Salido S...
Transcript of LIPOLEIOMYOMA: A RARE BENIGN NEOPLASIA. · LIPOLEIOMYOMA: A RARE BENIGN NEOPLASIA. Copado Salido S...
LIPOLEIOMYOMA: A RARE BENIGN NEOPLASIA.
Copado Salido S 1, Aibar Villan L 1, Puerta Sanabria JM 2. 1Hospital San Juan de la Cruz, Úbeda, Spain.
2University Hospital Virgen de las Nieves, Granada, Spain.
INTRODUCTION - Lipoleiomyomas are a type of leiomyoma, with a low incidence (0,03-2%), and are often presented in
postmenopausal women. - Diagnosis before surgery is complicated because they could present the same symptoms and ultrasonography
imaging than leiomyomas. - Computerized axial tomography (CAN) and magnetic resonance imaging (MRI) could be a better diagnosis tool.
CONCLUSION Lipoleiomyomas are rare benign neoplasia. Because the vast majority of the patients are asymptomatic and this tumors used to be a benign neoplasia, most of the authors prefer a conservative management with medical and image monitoring. However, surgery is the treatment of choice for symptomatic patient.
CASE REPORT
A case report of a 77 year-old woman is
presented. She suffered diabetes mellitus with
insulin treatment and high blood pressure. The
patient went to the San Juan de la Cruz Hospital,
(Ubeda, Spain) because of an abdominal mass which
was being studied. The physical exploration
showed a mobile mass, firm consistency. In a
transvaginal ultrasound the uterus was in
anteversion position, with an athrophic endometrium.
There were also a 9cms myometrial mass, well
defined, which was compatible with a
leiomyoma.
An MRI was done in order to complete the
study. It reported a 9cms mass with an
heterogeneous signal, predominating
hiperinsity on T2-weighted sequences
and suppression of its signal on fat saturation sequences. The mass was compatible with a
lipoleiomyoma. Doctors informed the results to the patient and decided an expectant attitude
because the symptoms were mild and this kind of tumor used to be a
benign neoplasia.