Uterine lipoleiomioma

Abstract

Lipoleiomyoma is a rare benign uterine neoplasm whose incidence varies between
0.03%-0.2%. This tumor is considered a benign variant of typical uterine leiomyomas.
It consists of a variable proportion of mature adipocytes and smooth muscle cells.
The etiology may be related to estrogen deficiency occurring after the menopausal
transition; it usually appears in obese perimenopausal or menopausal women. The
symptomatology is nonspecific, and most are diagnosed incidentally. We present a
case of uterine lipoleiomyoma in a 45-year-old patient who consulted for abdominal
pain. Ultrasonography showed a tumor in the anterior wall of a homogeneous
and well-defined uterus. During laparotomy, a yellowish tumor with a soft texture
was found. Total hysterectomy plus oophorosalpingectomy was performed. The
anatomopathologic diagnosis was uterine lipoleiomyoma.