MRI is an effective modality for the preoperative diagnosis of rare pure uterine lipomas, which can help avoid unnecessary surgery in asymptomatic patients.
MRI may aid preoperative characterization of rare uterine lipomas; leaves open whether it alters management in asymptomatic patients.
Pure fatty tumors of the uterus are extremely rare and usually develop in postmenopausal women. We present the first reported Japanese case of a pure uterine lipoma, in which a preoperative diagnosis was made by magnetic resonance imaging (MRI) and was pathologically confirmed postoperatively. As in our case, MRI is currently the best modality for determining the internal architecture of a tumor and the presence of fat. Because of the benign nature of a uterine lipoma, such an approach can avoid unnecessary surgery in asymptomatic patients.
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Fujimoto et al. (2006) studied this question.
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