Pedunculated tumours are soft, compressible skin-coloured solitary lesions, predominantly occurring on buttocks and thighs that need to be categorized rightly. We describe three solitary pedunculated masses of the pelvic girdle encountered in obese females. Primary clinical differential diagnoses included fibroepithelial polyps, lipoma, papilloma and nevus lipomatosus superficialis. Histopathological features helped in narrowing down definitive diagnosis of these look alike lesions as pedunculated lipofibroma or solitary form of Nevus Lipomatosus Cutaneous Superficialis (NCLS) which is a broad-based lesion with aggregates of mature adipocytes extending into the dermis and Fibroepithelial polyp which displays loose dermal fibrocollagenous stroma with entrapped blood vessels in the absence of admixed adipose tissue. Though treatment of choice for these lesions is excision, it would be of interest for pathologists to be acquainted with these clinical mimics displaying divergent histology. Keywords: Adipocytes, Nevus, Pelvis, Polyps
Background: Leiomyomas are by far the commonest uterine neoplasms in the female reproductive age group. Giant leiomyomas are quite scarce and when longstanding tend to undergo various degenerations owing to decreased blood supply which on imaging may simulate malignancy owing to compromised blood supply and may simulate malignancy on imaging.Case Presentation: We present a case of a 48-year-old post-menopausal multiparous woman complaining of intermittent lower abdominal pain for a month. Suspected as an ovarian tumor clinically and on ultrasound, this was seconded by raised serum CA125 levels. Histopathological examination gave a definitive diagnosis of a giant uterine leiomyoma along with multiple fibroids exhibiting multiple degenerations.Conclusion: Degenerated leiomyomas can masquerade malignancy and hence should be one of the first differentials in women of reproductive age group presenting with complex abdominopelvic masses.
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