Lipoleiomyoma of the uterus

Case contributed by Katia Kaplan-List
Diagnosis almost certain

Patient Data

Gender: Female
ct

Exophytic heterogeneous fat attenuation lesion within the uterus with areas of macroscopic fat, likely represents a lipoleiomyoma. The lesion has been stable for over 15 years. 

Case Discussion

Uterine lipoleiomyomas are rare benign tumors with reported incidence from 0.03% to 0.2%. These tumors are typically found in postmenopausal women and are associated with ordinary leiomyomas. 
They may be asymptomatic or cause symptoms similar to those caused by leiomyomas. 

Differential diagnostic considerations include:

  • angiomyolipoma
  • fibromyolipoma
  • myelolipoma.

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