Anbardar Mohammad Hossein, Soleimani Neda, Malek-Hosseini Seyed Ali, Moradmand Shirin
Department of Pathology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Pathology, Shiraz Transplant Center, Abu Ali Sina Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Case Rep Pathol. 2020 Nov 1;2020:8891820. doi: 10.1155/2020/8891820. eCollection 2020.
Fatty uterine tumors, especially pure uterine lipoma, are very rare, but clinically and radiologically, they can mimic other primary benign and malignant uterine neoplasms. . A multipara 61-year-old postmenopausal woman presented with abnormal vaginal bleeding for 3 months. Assessment by ultrasound and magnetic resonance imaging (MRI) revealed a hyperechoic mass in the uterine corpus. Furthermore, during radiologic investigation, there was an incidental isoechoic mass in the left lobe of the liver. Pure uterine lipoma and hepatic focal nodular hyperplasia were diagnosed.
Pure lipoma of the uterus, even though rare, has to be kept in the differential diagnosis of uterine neoplasms, especially in postmenopausal women. Till now, just a few concurrent tumors have been reported with pure uterine lipoma, and among them, FNH is the first extragenital tumor.
脂肪性子宫肿瘤,尤其是单纯性子宫脂肪瘤,非常罕见,但在临床和放射学上,它们可模仿其他原发性良性和恶性子宫肿瘤。一名61岁的经产妇绝经后妇女出现3个月的异常阴道出血。超声和磁共振成像(MRI)评估显示子宫体有一个高回声肿块。此外,在放射学检查期间,肝脏左叶意外发现一个等回声肿块。诊断为单纯性子宫脂肪瘤和肝局灶性结节性增生。
子宫单纯性脂肪瘤虽罕见,但在子宫肿瘤的鉴别诊断中必须予以考虑,尤其是在绝经后妇女中。到目前为止,仅有少数并发肿瘤与单纯性子宫脂肪瘤相关的报道,其中,肝局灶性结节性增生是首例生殖器外肿瘤。