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楼主发表于 2009-07-12 21:03|举报|关注(1)
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姓名：	×××	性别：	女	年龄：	47
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1 楼发表于2009-07-13 11:10:00举报|引用
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1: Int J Gynecol Pathol. 2006 Jul;25(3):239-42. onmouseout="PopUpMenu2_Hide();" target="_self" style="font-size: 20px; font-family: arial, helvetica, sans-serif; color: rgb(51, 102, 153); text-decoration: none; vertical-align: top; ">Links: Uterine lipoleiomyomas: a clinicopathologic study of 50 cases.

Wang X, Kumar D, Seidman JD.

Department of Pathology and Laboratory Medicine, Washington Hospital Center, Washington, DC 20010, USA.

Lipoleiomyoma is an uncommon uterine neoplasm and, although presumed to be benign, has been inadequately studied. Confirming the benign nature of this tumor is important because it can closely resemble well-differentiated liposarcoma. We evaluated 50 consecutive lipoleiomyomas diagnosed at the Washington Hospital Center from 1998 to 2004; 2.1% of patients who had uterine leiomyomas during this period had a lipoleiomyoma. The mean and median patient age was 54 and 51 years, respectively. The mean and median tumor size was 4.6 and 2.1 cm, respectively. Forty-three (83%) tumors were located in the uterine corpus, and 7 (13%) were in the cervix. One broad ligament tumor and one retroperitoneal tumor were also studied. The mitotic index was zero for all tumors. No tumors displayed cytological atypia, necrosis, calcification, or other degenerative changes. Follow-up periods ranged from 1.8 to 7.5 years (mean, 5.0 years). Four patients died of unrelated causes. There were no recurrences or fatalities related to tumor. Lipoleiomyoma of the uterus seems to have an uneventful clinical course and can now be confidently regarded as benign.

PMID: 16810060 [PubMed - indexed for MEDLINE]

Lovely case and vivid picture!

My first immediate impression is this is probably a "Lipoleiomyoma". It is an uncommon uterine lesion which is often seen in perimenopausal or postmenopausal women, obese women and women with higher incidence of gallbladder diseases. The best recent study was from Washington Medical Center by Dr. Seideman's group. I cited below for your reference. Pure uterine "lipoma" is extremely rare and most of them are due to limited sampling of a true lipoleiomyoma.

1: Int J Gynecol Pathol. 2006 Jul;25(3):239-42.

onmouseout="PopUpMenu2_Hide();" target="_self" style="font-size: 20px; font-family: arial, helvetica, sans-serif; color: rgb(51, 102, 153); text-decoration: none; vertical-align: top; ">Links

Uterine lipoleiomyomas: a clinicopathologic study of 50 cases.

Wang X, Kumar D, Seidman JD.

Department of Pathology and Laboratory Medicine, Washington Hospital Center, Washington, DC 20010, USA.

Lipoleiomyoma is an uncommon uterine neoplasm and, although presumed to be benign, has been inadequately studied. Confirming the benign nature of this tumor is important because it can closely resemble well-differentiated liposarcoma. We evaluated 50 consecutive lipoleiomyomas diagnosed at the Washington Hospital Center from 1998 to 2004; 2.1% of patients who had uterine leiomyomas during this period had a lipoleiomyoma. The mean and median patient age was 54 and 51 years, respectively. The mean and median tumor size was 4.6 and 2.1 cm, respectively. Forty-three (83%) tumors were located in the uterine corpus, and 7 (13%) were in the cervix. One broad ligament tumor and one retroperitoneal tumor were also studied. The mitotic index was zero for all tumors. No tumors displayed cytological atypia, necrosis, calcification, or other degenerative changes. Follow-up periods ranged from 1.8 to 7.5 years (mean, 5.0 years). Four patients died of unrelated causes. There were no recurrences or fatalities related to tumor. Lipoleiomyoma of the uterus seems to have an uneventful clinical course and can now be confidently regarded as benign.

PMID: 16810060 [PubMed - indexed for MEDLINE]