Lipoleiomyoma of the Uterus and Primary Ovarian Leiomyoma in a Postmenopausal Woman: Two Rare Entities in the Same Individual

Uterine lipoleiomyomas are rare benign tumours that are composed of various mixtures of smooth muscle and mature fat tissue. Leiomyomas, which arise primarily in the ovary, are extremely rare tumours that account for 0.5–1% of all benign ovarian tumours. To the best of our knowledge, we present the...

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Main Authors: Sefa Kelekci, Serenat Eris, Emine Demirel, Serpil Aydogmus, Nese Ekinci
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2015/564846
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author Sefa Kelekci
Serenat Eris
Emine Demirel
Serpil Aydogmus
Nese Ekinci
author_facet Sefa Kelekci
Serenat Eris
Emine Demirel
Serpil Aydogmus
Nese Ekinci
author_sort Sefa Kelekci
collection DOAJ
description Uterine lipoleiomyomas are rare benign tumours that are composed of various mixtures of smooth muscle and mature fat tissue. Leiomyomas, which arise primarily in the ovary, are extremely rare tumours that account for 0.5–1% of all benign ovarian tumours. To the best of our knowledge, we present the first case of an ovarian leiomyoma coexisting with a uterine lipoleiomyoma in the postmenopausal period. A 59-year-old, gravida 4, para 3, postmenopausal woman exhibited pelvic discomfort and increased frequency of micturition. A pelvic examination revealed a solid, tender mass on the left side that could not be clearly separated from the uterus. She underwent a laparotomy with an initial diagnosis of a left ovarian mass. She had previously undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy. A histopathological examination revealed a uterine lipoleiomyoma, composed of variable amounts of smooth muscle cells and mature adipocytes and a right ovarian leiomyoma composed of interlacing bundles and fascicles of spindle cells. The coexistence of these two rare entities in the same individual may represent a common pathway as a stimulating agent. This case may help to clarify the pathogenesis of these lesions.
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issn 2090-6781
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publishDate 2015-01-01
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series Case Reports in Pathology
spelling doaj-art-1e837401b62e4139aa40e09855f7241e2025-02-03T01:02:17ZengWileyCase Reports in Pathology2090-67812090-679X2015-01-01201510.1155/2015/564846564846Lipoleiomyoma of the Uterus and Primary Ovarian Leiomyoma in a Postmenopausal Woman: Two Rare Entities in the Same IndividualSefa Kelekci0Serenat Eris1Emine Demirel2Serpil Aydogmus3Nese Ekinci4Perinatology Department, Izmir Katip Celebi University Ataturk Training and Research Hospital, Basin Sitesi, Yesilyurt, 35360 İzmir, TurkeyGynecology and Obstetrics Department, Izmir Katip Celebi University Ataturk Training and Research Hospital, Basin Sitesi, Yesilyurt, 35360 İzmir, TurkeyGynecology and Obstetrics Department, Izmir Katip Celebi University Ataturk Training and Research Hospital, Basin Sitesi, Yesilyurt, 35360 İzmir, TurkeyGynecology and Obstetrics Department, Izmir Katip Celebi University Ataturk Training and Research Hospital, Basin Sitesi, Yesilyurt, 35360 İzmir, TurkeyPathology Department, Izmir Katip Celebi University Ataturk Training and Research Hospital, Basin Sitesi, Yesilyurt, 35360 İzmir, TurkeyUterine lipoleiomyomas are rare benign tumours that are composed of various mixtures of smooth muscle and mature fat tissue. Leiomyomas, which arise primarily in the ovary, are extremely rare tumours that account for 0.5–1% of all benign ovarian tumours. To the best of our knowledge, we present the first case of an ovarian leiomyoma coexisting with a uterine lipoleiomyoma in the postmenopausal period. A 59-year-old, gravida 4, para 3, postmenopausal woman exhibited pelvic discomfort and increased frequency of micturition. A pelvic examination revealed a solid, tender mass on the left side that could not be clearly separated from the uterus. She underwent a laparotomy with an initial diagnosis of a left ovarian mass. She had previously undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy. A histopathological examination revealed a uterine lipoleiomyoma, composed of variable amounts of smooth muscle cells and mature adipocytes and a right ovarian leiomyoma composed of interlacing bundles and fascicles of spindle cells. The coexistence of these two rare entities in the same individual may represent a common pathway as a stimulating agent. This case may help to clarify the pathogenesis of these lesions.http://dx.doi.org/10.1155/2015/564846
spellingShingle Sefa Kelekci
Serenat Eris
Emine Demirel
Serpil Aydogmus
Nese Ekinci
Lipoleiomyoma of the Uterus and Primary Ovarian Leiomyoma in a Postmenopausal Woman: Two Rare Entities in the Same Individual
Case Reports in Pathology
title Lipoleiomyoma of the Uterus and Primary Ovarian Leiomyoma in a Postmenopausal Woman: Two Rare Entities in the Same Individual
title_full Lipoleiomyoma of the Uterus and Primary Ovarian Leiomyoma in a Postmenopausal Woman: Two Rare Entities in the Same Individual
title_fullStr Lipoleiomyoma of the Uterus and Primary Ovarian Leiomyoma in a Postmenopausal Woman: Two Rare Entities in the Same Individual
title_full_unstemmed Lipoleiomyoma of the Uterus and Primary Ovarian Leiomyoma in a Postmenopausal Woman: Two Rare Entities in the Same Individual
title_short Lipoleiomyoma of the Uterus and Primary Ovarian Leiomyoma in a Postmenopausal Woman: Two Rare Entities in the Same Individual
title_sort lipoleiomyoma of the uterus and primary ovarian leiomyoma in a postmenopausal woman two rare entities in the same individual
url http://dx.doi.org/10.1155/2015/564846
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