Laparoscopic resection of a uterine lipoleiomyoma

Abstract

Uterine lipoleiomyomas are rare variants of leiomyomas that usually occur in postmenopausal women. Their incidence ranges from 0.03% to 0.2%. Few cases of laparoscopically resected lipoleiomyomas have been reported in the literature.Further accumulation of lipoleiomyomas could help establish an accurate preoperative diagnosis of this uncommon and benign mesenchymal tumor.

Tibial Adamantinoma: A Case Report from a Resource-Limited-Setting

“…This makes MRI indispensable for determining tumor-free margins, thereby guiding the planning and execution of reconstructive surgery. 5,11 A particular diagnostic challenge is posed by osteofibrous dysplasia (OFD), a benign bone condition that can coexist with adamantinoma and share similar histological characteristics. In a study by Schutgens et al, it was demonstrated that the surgical outcome and oncological survival between osteofibrous dysplasia-like adamantinoma and classic adamantinomas were comparable, further complicating the differentiation between the two.…”

“…On the other hand, markers such as estrogen, progesterone, and N-cadherin are identified in typical adamantinoma cases, but they are absent in variants of adamantinoma that resemble osteofibrous dysplasia. 5,7 Surgical methods predominantly dictate the treatment of tibial adamantinoma. The most common and effective method is wide excision with clear margins, aiming to remove the tumor and a significant amount of surrounding healthy tissue.…”

“…Moreover, MRI is crucial for locoregional staging as well as guiding surgical management. 5 Despite the advancements in medical imaging technologies, the diagnosis of adamantinoma can still be challenging due to its often nonspecific radiological findings. The radiographic picture may vary from a purely cystic lesion to an entirely sclerotic lesion, further complicating the diagnostic process.…”