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% to 0.2% [3]. Its histogenesis is unknown; 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 postmenopausal women [5,6]. Uterine lipoleiomyoma requires a histopathological diagnosis and cannot be diagnosed preoperatively.

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 Gynecologic Surgery Source Type: research