Lipoleiomyomas of the uterus are rare benign variant of leiomyoma and the literature suggests an incidence rate between 0.03% and 0.2%. These tumours are usually seen in postmenopausal age group and are mainly asymptomatic. Histo-morphologically, they present with intermingling fascicles of smooth muscle cells, lobules of mature adipose tissue and intervening fibrous areas. Here, we report two cases of a 46-year-old perimenopausal who presented with heavy menstrual bleeding and a 74-year-old postmenopausal woman who presented with uterovaginal prolapse. A primary diagnosis of leiomyoma was made based on clinical and radiological features however, histopathological diagnosis revealed it to be lipoleiomyoma.
Keywords: Lipoleiomyoma, Perimenopausal, Postmenopausal, Rare, Benign
