一例子宫脂肪肌瘤病例报告及文献回顾
Uterine Lipoleiomyoma: A Case Report and Review of the Literature
DOI: 10.12677/ACM.2023.131029, PDF,   
作者: 闫 琪*:山东第一医科大学(山东省医学科学院),山东 济南;王苏荣#:临沂市人民医院妇科,山东 临沂
关键词: 子宫肿瘤脂肪平滑肌瘤病例报道Uterine Neoplasms Lipomyoma Case Report
摘要: 子宫脂肪肌瘤是一种罕见的良性肿瘤,属于子宫平滑肌瘤的范畴。经组织学检查,普通平滑肌瘤主要由子宫的平滑肌细胞组成,而脂肪肌瘤由不同比例的成熟脂肪细胞和平滑肌细胞组成。本文讨论一个55岁围绝经期妇女,最初诊断为宫腔占位,然而,组织病理学诊断显示其罕见的变异——脂肪肌瘤。根据该病例,进行了相关文献回顾。
Abstract: Lipoleiomyoma is an uncommon neoplasm of the uterus that belongs to the category of uterine leiomyoma. Histologically, the common leiomyoma is mainly composed of smooth muscle cells of the uterus, while the fat leiomyoma is composed of different proportions of mature adipocytes and smooth muscle cells. This article discusses a 55-year-old perimenopausal woman who was initially diagnosed with a space-occupying lesion in the uterine cavity, however, histopathological diagnosis showed its rare variant, lipomyoma. Based on this case, a review of the relevant literature was per-formed.
文章引用:闫琪, 王苏荣. 一例子宫脂肪肌瘤病例报告及文献回顾[J]. 临床医学进展, 2023, 13(1): 186-190. https://doi.org/10.12677/ACM.2023.131029

参考文献

[1] Chandawale, S.S., Karia, K.M., Agrawal, N.S., Patil, A.A., Shetty, A.B. and Kaur, M. (2018) Uterine Lipoleiomyoma and Lipoma: A Rare Unique Case Report with Review of Literature. International Journal of Applied and Basic Medical Research, 8, 193-195. [Google Scholar] [CrossRef
[2] Manjunatha, H.K., Ramaswamy, A.S., Kumar, B.S., Kumar, S.P. and Krishna, L. (2010) Lipoleiomyoma of Uterus in a Postmenopausal Woman. Journal of Mid-life Health, 1, 86-88. [Google Scholar] [CrossRef] [PubMed]
[3] Terada, T. (2015) Giant Subserosal Li-poleiomyomas of the Uterine Cervix and Corpus: A Report of 2 Cases. Applied Immunohistochemistry & Molecular Morphology, 23, e1-e3. [Google Scholar] [CrossRef
[4] Salman, M.C., Atak, Z., Usubutun, A. and Yuce, K. (2010) Lipoleiomyoma of Broad Ligament Mimicking Ovarian Cancer in a Postmenopausal Patient: Case Report and Literature Review. Journal of Gynecologic Oncology, 21, 62-64. [Google Scholar] [CrossRef] [PubMed]
[5] Henes, M. and Hübner, S. (2020) Hormontherapie in der Peri- und Postmenopause [Hormone Replacement Therapy in Peri- and Postmenopause]. Der Internist, 61, 558-564. [Google Scholar] [CrossRef] [PubMed]
[6] Bosoteanu, M., Vodă, R.I., Orasanu, C.I., Aschie, M., Enciu, M. and Baltatescu, G.I. (2022) A Case of Giant Mesenchymal Uterine Tumor: Lipoleiomyoma. American Journal of Case Reports, 23, e934913. [Google Scholar] [CrossRef
[7] Alfarra, K.S., Aldhamer, A.A., Aldubaib, H.S., et al. (2021) Pure Uterine Lipoma: A Report of a Rare Entity. Cureus, 13, e20444. [Google Scholar] [CrossRef] [PubMed]
[8] Aung, T., Goto, M., Nomoto, M., et al. (2004) Uterine Lipoleiomyoma: A Histopathological Review of 17 Cases. Pathology International, 54, 751-758. [Google Scholar] [CrossRef] [PubMed]
[9] Wilke, S., Benson, J. and Roll-er, L. (2022) Uterine Lipoleiomyoma: Case Report and Review of the Literature. Radiology Case Reports, 17, 954-958. [Google Scholar] [CrossRef] [PubMed]
[10] Lin, K.C., Sheu, B.C. and Huang, S.C. (1999) Lipoleiomyoma of the Uterus. International Journal of Gynecology & Obstetrics, 67, 47-49. [Google Scholar] [CrossRef
[11] Alsaif, J.M., Alali, Z.S., Elsharkawy, T. and Ahmed, A. (2021) Uterine Lipoleiomyoma: A Case Report and Review of Literature. Cureus, 13, e20297. [Google Scholar] [CrossRef] [PubMed]
[12] Terada, T. (2012) Large Lipoleiomyoma of the Uterine Body. Annals of Diagnostic Pathology, 16, 302-305. [Google Scholar] [CrossRef] [PubMed]
[13] 韩春宏, 吴明灿, 张建丰, 黄国来. 子宫脂肪平滑肌瘤的CT及MRI特征[J]. 医学影像学杂志, 2012, 22(8): 1370-1373.
[14] Chang, I.J., Hong, G.Y., Oh, Y.L., et al. (2013) Effects of Menopausal Hormone Therapy on Uterine Myoma in Menopausal Women. Journal of Menopausal Medicine, 19, 123-129. [Google Scholar] [CrossRef] [PubMed]
[15] Di Spiezio Sardo, A., Gencarelli, A., Da Cunha Vieira, M., Riemma, G., De Simone, T. and Carugno, J. (2020) Differentiating a Rare Uterine Lipoleiomyoma from Uterine Perforation at Hysteroscopy: A Scary Story. Journal of Minimally Invasive Gynecology, 27, 9-10. [Google Scholar] [CrossRef] [PubMed]
[16] Feng, D., Chen, H., Yang, K.X. and Fang, F. (2011) Pre-Peritoneal Lipoleiomyoma with Hyperoestrogenism in a Postmenopausal Woman. Journal of Obstetrics and Gynaecology, 31, 556-557. [Google Scholar] [CrossRef] [PubMed]
[17] McDonald, A.G., Dal Cin, P., Ganguly, A., et al. (2011) Liposarcoma Arising in Uterine Lipoleiomyoma: A Report of 3 Cases and Review of the Literature. American Journal of Surgical Pathology, 35, 221-227. [Google Scholar] [CrossRef
[18] Akbulut, M., Gündoğan, M. and Yörükoğlu, A. (2014) Clinical and Pathological Features of Lipoleiomyoma of the Uterine Corpus: A Review of 76 Cases. Balkan Medical Journal, 31, 224-229. [Google Scholar] [CrossRef] [PubMed]
[19] Uner, A., Tiras, M.B., Kilic, D., Dursun, A. and Dilek, U. (2003) Uterine Lipoleiomyoma Containing Metastatic Breast Carcinoma: A Case with Two Unusual Pathologies. Euro-pean Journal of Obstetrics & Gynecology and Reproductive Biology, 106, 76-78. [Google Scholar] [CrossRef
[20] Loffroy, R., Nezzal, N., Mejean, N., Sagot, P. and Krausé, D. (2008) Lipoleiomyoma of the Uterus: Imaging Features. Gynecologic and Obstetric Investigation, 66, 73-75. [Google Scholar] [CrossRef] [PubMed]