Lipoleomyoma Flashcards

1
Q

What is a uterine lipoleiomyoma?

What is the incidence?

A

Rare benign tumour of the uterus

Results from the degeneration of smooth muscle cells in an ordinary leiomyoma

Incidence: 0.03-0.2%

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2
Q

What patient population are lipoleiomyomas found?

A

postmenopausal with typical fibroids

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3
Q

What consists of a uterine lipoleiomyoma?

A

Adipocytes and smooth muscle cells separated by thin fibrous tissue. Potentially represents fatty metaplasia of the smooth muscle cells of a leiomyoma.

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4
Q

What are the ultrasound findings of a lipoleiomyoma?

A

Hyperechoic with partially hypoechoic rim
(rim is layer of myometrium surrounding the fatty central component)

Posterior acoustic attenuation

poor vascularity on colour doppler

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5
Q

Location of lipoleiomyoma within the uterus?

A

Intramural
Submucosal
Subserosal

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