UTERINE BIZARRE LIPOLEIOMYOMA

A case of uterine bizarre lipoleiomyoma occurring in a 58-year-old wom an is described. A subserosal 8.5 cm mass in the posterior wall of the body had a lipoma-like appearance with strands of fibrous tissue. His tologically, the tumor predominantly consisted of adipocytes which var ied in size and shape. Some cells had the appearance of signet ring ce lls, some had hyperchromatic nuclei, and multivacuolated lipoblasts wi th hyperchromatic nuclei were observed throughout the lesion. The fibr ous areas showed a proliferation of smooth muscle cells with and witho ut atypical nuclei. There was no mitotic figure. Flow cytometric analy sis indicated aneuploidy. The patient was well without disease 10 mont hs after hysterectomy. Patients with this type of tumor need a close a nd long-term follow-up because of the paucity of clinical information.