Indian Journal of Public Health Research & Development

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Pelvic Lipoma in a Case of Stage-II Cervical Carcinoma - a Case Report


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1 Department of Radiodiagnosis, G.S.L. Medical College & Hospital, Rajahmundry, Andhra Pradesh, India
     

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Retroperitoneal pelvic lipomas are so rare that there are only few cases reported in literature. Current imaging techniques such as USG, CT&MRI are helpful in diagnosis. A case of pelvic lipoma in a patient with stage-II cervical carcinoma is described. Initial ultrasound showed an irregular mass in the cervix with suggestion of an echogenic lesion in left side of pelvis. Plain and contrast enhanced CT showed a homogenous fat attenuation mass in the left side of pelvis with a faintly visible capsule which did not enhance post contrast. MRI permitted unequivocal diagnosis of lipoma. The usefulness of various imaging methods is discussed in correctly diagnosing the entity and avoiding unnecessary surgery in asymptomatic patient.

Keywords

MRI, Pelvic Lipoma, Cervical Carcinoma, Benign Tumour
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  • Gerald D. Dodd III, Ronald F Budzik, Jr. Lipomatous tumours of the pelvis in women: Spectrum of imaging findings. AJR 155.317- 322. Aug ‘1990. 0361 – 803X/90/1552 – 0317 American Roentgen Ray society. PMID: 2115259

  • Kyoung Rok Lee, Tae Jin Seo, Jun Ho Cho et al. – A case of Large Retroperitoneal Lipoma Mimicking Liposarcoma. – Korean J Gastroenterol 2010 Jun; .55(6):394-398. PMID: 20571308

  • Robbins SL. Pathologic basis of disease. Philadelphia: WB Saunders Co, 1974: 158 -9

  • Craig WD, Fanburg-Smith JC, Henry LR, Guerrero R, Barton - Fat-containing Lesions of the Retroperitoneum: Radiologic-Pathologic Correlation; JH.Radiographics. 2009 Jan-Feb; 29 (1):261-90.1 PMID: 19168848.

  • Armstrong JR, Cohn I Jr Primary malignant retroperitoneal tumors. .Am J Surg. 1965 Dec; 110 (6):937-43. PMID: 5891845.

  • Pai MR, Naik R, Raghuveer CV; Primary retroperitoneal tumours a 25 year study. Indian J Med Sci. 1995 Jun; 49(6):139-41. PMID: 8821915

  • LU Lau MD and R F Thoeni MD., Uterine lipoma: advantage of MRI over Ultrasound. British Journal of Radiology (2005) 78, 72 – 74. 2005 British Institute of Radiology. PMID: 15673537

  • Kransdorf MJ, Bancroft LW, Peterson JJ, Murphey MD, Foster WC, Temple HT - Imaging of fatty tumors: distinction of lipoma and welldifferentiated liposarcoma; Radiology. 2002 Jul; 224(1):99-104. PMID: 12091667.

  • Na-young Shin ,Myeong-Jin Kim, Jae-Joon Chung, Yong-Eun Chung, Jin-Young Choi, Young-Nyun Park-The differential imaging features of fat-containing tumors in the peritoneal cavity and retroperitoneum: the radiologic pathologic correlation. Korean journal of Radiology. 2010; 11: 333-345. PMID: 20461188

  • Gaskin CM, Helms CA - Lipomas, lipoma variants, and well-differentiated liposarcomas (atypical lipomas): results of MRI evaluations of 126 consecutive fatty masses. AJR Am J Roentgenol. 2004 Mar; 182(3):733-9. PMID: 14975977.

  • Gunter Deppe, Vinay K.Malviya, Jacques Hercule, Norbert Gleicher, Detroit, Michigan and Chicago, lllinois. – Retroperitoneal pelvic lipoma. - Journal of the National Medical Association, vol. 78, No. 1, 1985. PMID: 4046056 PMCID: PMC2571129

  • Hull WB, Blumenfield ML, Jacques .D: Large paravaginal pelvic lipoma .A case report. J Reprod Med – 1999, Jul: 44(7) 636 -8. PMID: 10442330

  • Shelth S. Fishman EK, Buck JL, Hamper UM, Sanders RC. The variable sonographic appearances of ovarian teratomas: correlation with CT. AJR 1988: 151: 331-334. PMID: 3293377

  • Buy JN; Ghossain MR, Moss AA, et al. Cystic teratoma of the ovary: CT detection. Radiology 1989: 171: 697-701. PMID: 2717741

  • Dodd GD III Lancaster KT, Moulton JS. Ovarian lipoleiomyoma: a fat containing mass in the female pelvis. AJR 1989: 153; 1007 -1008. PMID: 2678992


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  • Pelvic Lipoma in a Case of Stage-II Cervical Carcinoma - a Case Report

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Authors

Anindita Mishra
Department of Radiodiagnosis, G.S.L. Medical College & Hospital, Rajahmundry, Andhra Pradesh, India
Vinay Nyapathy
Department of Radiodiagnosis, G.S.L. Medical College & Hospital, Rajahmundry, Andhra Pradesh, India

Abstract


Retroperitoneal pelvic lipomas are so rare that there are only few cases reported in literature. Current imaging techniques such as USG, CT&MRI are helpful in diagnosis. A case of pelvic lipoma in a patient with stage-II cervical carcinoma is described. Initial ultrasound showed an irregular mass in the cervix with suggestion of an echogenic lesion in left side of pelvis. Plain and contrast enhanced CT showed a homogenous fat attenuation mass in the left side of pelvis with a faintly visible capsule which did not enhance post contrast. MRI permitted unequivocal diagnosis of lipoma. The usefulness of various imaging methods is discussed in correctly diagnosing the entity and avoiding unnecessary surgery in asymptomatic patient.

Keywords


MRI, Pelvic Lipoma, Cervical Carcinoma, Benign Tumour

References