CASE OF UTERINE INTRAMURAL PURE LIPOMA

Dr. Seema Dande*, Dr. Manjushree Waikar, Dr. Nishikant Lokhande (Radiologist) and Dr. Laxmi Lokesh(Pathologist)

ABSTRACT

Benign lipomatous uterine tumors are extremely rare. Overall reported incidence of lipoleiomyoma is 0.03 % to 0.25%. It is also known as uterine fatty tumour. Pure lipomas are extremely rare and only few cases are reported in medical literature. They are benign tumors arising in postmenopausal women in the age group of 50 to 70 years presenting with vaginal bleeding and pelvic pain. Ultrasound scan and CT scan are non specific in diagnosing this condition. However MRI scan helps in identifying the nature of the lesion. I present a case of a post menopausal woman of 59 age presenting with complaint of vaginal bleeding and abdominal pain which was severe intermittently of 10 days duration. Her ultrasound was suggestive of endometrial hyperplasia. I did an endometrial biopsy which was showing mild hyperplasia without atypia. As her bleeding did not stop after progestogen therapy, hysterectomy was done with bilateral salpingo oophorectomy. Her MRI scan was suggestive of a lipomatous structure on the uterine body which was confirmed after the surgery and later on by histopathology as a pure lipoma of the uterus.

Keywords: salpingo oophorectomy, lipoleiomyoma.