12th Global Womens Health, Pediatrics & Nursing Summit
  • Follow

Accepted Abstracts

A Case of Large Cervical Lipoleiomyoma Simulating Malignancy: An Intraoperative Dilemma

Priti Agrawal*, Rishi Agrawal and Anandi Lobo
Aarogya Hospital and Test Tube Baby Center, India 

Citation: Agrawal P, Agrawal r, Lobo A (2021) A Case of Large Cervical Lipoleiomyoma Simulating Malignancy: An Intraoperative Dilemma. SciTech Women & Nursing 2021. 

Received: December 08, 2020         Accepted: December 10, 2020         Published: December 10, 2020

Abstract

Primary lipomatous tumors of the uterus are very unusual benign neoplasms with an incidence of 0.03% to 0.2% .Most commonly described in the uterine corpus, lipoleiomyomas (LLM) have been reported in cervix, broad ligament and retro peritoneum. Here we report a case of perimenopausal women with cervical LLM which was highly friable simulating cervical malignancy, creating an intraoperative dilemma. A 45 year old perimenopausal woman presented with severe abdominal pain with difficulty in passing urine and motion, excessive bleeding per vaginum with increased frequency of menses, since 6 months.
Ultrasonography revealed a well-defined rounded to oval heterogeneous hyperechoic lesion with minimal vascularity measuring 10.4 x 11.0 x 7.7 cms, volume -469cc, probably arising from anterior lip of cervix. Patient was taken for laparotomy. Intraoperative friability and vascularity of the mass was suggestive of malignancy. LLM, if asymptomatic, requires no treatment. But symptomatic cases require surgical management.
 
Keywords: Lipoleiomyoma, Leiomyoma, Uterus, Cervix