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.