Korean J Obstet Gynecol.  2012 Oct;55(10):787-790.

A uterine lipoleiomyoma of the broad ligament mimicking an ovarian tumor

• Kim HK
• Kim JH
• Hong SY
• Choi YS
• Oh HK
• Lee TS

Abstract

Uterine lipoleiomyomas are rare benign lesions composed of mature adipose tissue and smooth muscle cells. Uterine lipoleiomyomas are mostly found in the fundus or cervix and extremely rare in the broad ligament. Preoperative diagnosis of lipoleiomyoma of the broad ligament is very difficult due to its similarity to ovarian tumor. We report a 56-year-old menopausal woman with huge lipoleiomyoma of the broad ligament mimicking an ovarian tumor that treated with total abdominal hysterectomy with bilateral adnexectomy.

Keyword

Lipoleiomyoma; Ovarian neoplasms; Broad ligament

MeSH Terms

Adipose Tissue
Broad Ligament
Cervix Uteri
Female
Humans
Hysterectomy
Middle Aged
Myocytes, Smooth Muscle
Ovarian Neoplasms

Figure

• 

  Fig. 1 Pelvic ultrasonography shows 15×10 cm-sized diffuse hyperechoic mass with focal hypoechoic areas.

• 

  Fig. 2 Computed tomography shows a huge left adnexal mass with low-attenuated fatty tissue.

• 

  Fig. 3 Gross findings show homogeneous, yellow color and smooth surface contour without necrosis.

• 

  Fig. 4 Microscopic findings reveal proliferation of mature fat tissue with scattered smooth muscle bundles without cellular atypia and vascular proliferation (H&E, ×200).

Reference

1. Wang X, Kumar D, Seidman JD. Uterine lipoleiomyomas: a clinicopathologic study of 50 cases. Int J Gynecol Pathol. 2006. 25:239–242.

2. Shin HT, Jung HS, Hong JK, Huh CY, Kim SB, Lee JH. A case of lipoleiomyoma in uterus. Korean J Obstet Gynecol. 1993. 36:711–714.

3. Shin JS, Roh JS, Hwang JH, Yoo JB, Kim KT, Hwang YY. A case of lipoleiomyoma of the uterus. Korean J Obstet Gynecol. 1996. 39:217–221.

4. Aizenstein R, Wilbur AC, Aizenstein S. CT and MRI of uterine lipoleiomyoma. Gynecol Oncol. 1991. 40:274–276.

5. Lin KC, Sheu BC, Huang SC. Lipoleiomyoma of the uterus. Int J Gynaecol Obstet. 1999. 67:47–49.

6. Schindl M, Birner P, Lösch A, Breitenecker G, Joura EA. Preperitoneal lipoleiomyoma of the abdominal wall in a postmenopausal woman. Maturitas. 2000. 37:33–36.

7. Bajaj P, Kumar G, Agarwal K. Lipoleiomyoma of broad ligament: a case report. Indian J Pathol Microbiol. 2000. 43:457–458.

8. Cinel L, Düşmez D, Nabaei SH, Taner D, Pata O. Two intraligamentary lipomatous tumors with immunohistochemical features. Acta Obstet Gynecol Scand. 2002. 81:786–787.

9. Maryanski J, Gulak G, Pawlowski W. Lipoleiomyoma of the broad ligament of the uterus. Int J Gynaecol Obstet. 2009. 107:257.

10. Salman MC, Atak Z, Usubutun A, Yuce K. Lipoleiomyoma of broad ligament mimicking ovarian cancer in a postmenopausal patient: case report and literature review. J Gynecol Oncol. 2010. 21:62–64.

11. Aung T, Goto M, Nomoto M, Kitajima S, Douchi T, Yoshinaga M, et al. Uterine lipoleiomyoma: a histopathological review of 17 cases. Pathol Int. 2004. 54:751–758.

12. Cho SH, Hong SC, Lee JH, Cho GJ, Park HT, Kim T, et al. Total laparoscopic resection of primary large retroperitoneal teratoma resembling an ovarian tumor in an adult. J Minim Invasive Gynecol. 2008. 15:384–386.

13. Su WH, Wang PH, Chang SP, Su MC. Preoperational diagnosis of a uterine lipoleiomyoma using ultrasound and computed tomography images: a case report. Eur J Gynaecol Oncol. 2001. 22:439–440.