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Uterine bizarre epithelioid lipoleiomyoma with a myxoid stroma
1Department of Obstetrics and Gynecology, Japan
2Division of Molecular Pathology, Kobe University Graduate School of Medicine, Kobe, Japan
*Corresponding Author(s): K. Takeuchi E-mail:
The first case of uterine bizarre epithelioid lipoleiomyoma with a myxoid component occurring in an 86-year-old woman is described. An intramural 22 cm mass in the anterior wall of the uterine body had a lipoma-like appearance with strands of fibrous tissue. Histologically, the tumor consisted of adipocytes which varied in size and shape, and epithelioid smooth muscle cells with nuclear atypia within a myxoid stroma. No mitotic features were noted despite an extensive search. The patient was well without disease 24 months after hysterectomy. Patients with this type of tumor need close and long-term follow-up because of the paucity of clinical information.
K. Takeuchi,S. Kitazawa,T. Tsujino,S. Wakahashi,T. Maruo. Uterine bizarre epithelioid lipoleiomyoma with a myxoid stroma. European Journal of Gynaecological Oncology. 2006. 27(3);273-274.
[1] Lin M., Hanai J.: "Atypical lipoleiomyoma of the uterus". Acta Pathol. Jpn., 1991, 41, 164.
[2] Fukunaga M., Ushigome S.: "Uterine bizarre lipoleiomyoma" Pathol. Int., 1998, 48, 562.
[3] Brooks J.J., Wells G.B., Yeh LT., LiVolsi V.A.: "Bizarre epithelioid lipoleiomyoma of the uterus". Int. J. Gynecol. Pathol.,1992,11, 144.
[4] Prayson R.A., Goldblum J.R., Hart W.R.: "Epithelioid smoothmuscle tumors of the uterus: a clinicopathologic study of 18 patients". Am. J. Surg. Pathol., 1997, 21, 383.
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