Differentiating a rare uterine lipoleiomyoma from uterine perforation at hysteroscopy - a scary story

Uterine lipoleiomyoma is a rare, frequently misdiagnosed, benign mesenchymal uterine neoplasm [1,2] with a reported incidence of 0.03-0.2% [3] The histogenesis is unknown. Some theories include: lipoblastic differentiation of misplaced embryonic fat cells, metaplastic changes of connective tissue or smooth muscle fibers into fat cells, and pluripotent cell migration and fatty infiltration. [4]. It has been associated with estrogen-deficiency in post-menopausal women [5,6]. It is a histopathology diagnosis that can't be diagnosed pre-operatively.

Source: The Journal of Minimally Invasive Gynecology - April 26, 2019 Category: OBGYN Authors: Attilio Di Spiezio Sardo, Annarita Gencarelli, Mariana Da Cunha Vieira, Gaetano Riemma, Teresa De Simone, Jose Carugno Tags: IMAGES IN Gynecological Surgery Source Type: research