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Ovarian Lipoleiomyoma

A Rare Entity

Vishwajeet, Vikarn, M.D.; Banerjee, Nirmalya, M.D.; Dey, Pranab, M.D., M.I.A.C., F.R.C.Path.

International Journal of Gynecological Pathology: March 2019 - Volume 38 - Issue 2 - p 171–174
doi: 10.1097/PGP.0000000000000487

Ovarian lipoleiomyoma is an extremely rare neoplasm and may pose a diagnostic challenge for clinicians, radiologists, and pathologists. It is rarely described as case reports in the literature; almost all patients are late middle aged or elderly. Hereby, we encountered a 57-yr-old postmenopausal woman who presented with abdominal pain. Radiologic investigation revealed a heterogenous nonenhancing mass in the left adnexa, suggestive of dermoid cyst. Microscopic examination showed clusters of adipocytes intersecting the fascicles of smooth muscles, diagnostic of lipoleiomyoma. The present case revisits the clinical and morphologic findings of lipoleiomyoma along with previously published cases in literature.

Departments of Histopathology (V.V., N.B.)

Cytology and Gynec Pathology (P.D.), Postgraduate Institute of Medical Education and Research, Chandigarh, India

The authors declare no conflict of interest.

Address correspondence and reprint requests to Pranab Dey, MD, MIAC, FRCPath, Department of Cytology and Gynec Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India. E-mail:

©2019International Society of Gynecological Pathologists