Coexistence of uterine lipoma, leiomyoma and endometrial polyp

Year 2019, Volume: 44 Issue: 3, 1139 - 1141, 30.09.2019

Nilgün Söğütçü , Nazlı Sena Şeker

https://doi.org/10.17826/cumj.500359

Abstract

Lipomas of the uterus are very rare tumors, they are often misdiagnosed by preoperative radiological examination due to their content and their rarity. Although MRI is preferred because of the fat nature of the lesion, the definitive diagnosis requires histopathological examination. Although many theories have been proposed about the histogenesis of the tumor, there is still no accepted theory. These lesions may have concomitant malignancy in the uterus, ovaries, and fallopian tubes, or may have other metabolic disorders and abnormal estrogen status. Here, we report a 39-year-old female patient who was admitted to the hospital with pelvic pain and irregular vaginal bleeding. Abdominal hysterectomy and bilateral salpingo-oopherectomy was performed and histopathological examination revealed rare occurrence of coexistent uterine lipoma, leiomyoma and endometrial polyp.

Keywords

Lipoma, Endometrial Polyp, Leiomyoma, Uterin

Uterin lipoma, leiyomyoma ve endometrial polip birlikteliği

Abstract

Uterusun lipomları çok nadir görülen tümörler olup, preoperatif radyolojik incelemeleri ile içerikleri ve nadirlikleri nedeniyle sıklıkla yanlış tanı alırlar. Her ne kadar MRG lezyonun yağ yapısından dolayı tercih edilse de kesin tanı histopatolojik inceleme gerektirir. Tümörün histogenezi hakkında birçok teori öne sürülmüş olsa da, hala kabul edilmiş bir teori yoktur. Bu lezyonlar rahim, yumurtalıklar ve fallop tüplerinde eşlik eden maligniteye sahip olabilir veya başka metabolik bozukluklara ve anormal östrojen durumuna sahip olabilir. Burada, pelvik ağrı ve düzensiz vajinal kanama ile hastaneye başvuran 39 yaşında bir kadın hastayı sunuyoruz. Abdominal histerektomi ve bilateral salpingo-ooferektomi yapılmış ve histopatolojik incelemede nadir görülen uterin lipom, leiomyom ve endometrial polip birlikteliği saptanmıştır.

Keywords

Lipom, Endometrial Polip, Leiyomyom, Uterin

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