Pure uterine lipoma

Pure uterine lipoma is a very rare benign mesenchymal neoplasm, and only a few cases have been reported in the literature. This is in contrast to leiomyoma, which is not only the most common neoplasm of the uterus but also one of the most common tumours in women, estimated to occur in 20-40% of women beyond the age of 30 years (AFIP) and more frequently affect postmenopausal women. We report the case of a 70-year-old woman who presented with pelvic pain and postmenopausal uterine bleeding. Pure uterine lipoma was diagnosed preoperatively by CT scan with and without contrast and confirmed post-operatively by pathological examination. Clinical and histological diagnosis of pure uterine lipoma with immunohistochemical findings are described, and the efficacy of CT in diagnosing this tumour is discussed.