Abstract:

Objective: To improve the diagnosis and treatment of cervical lipoleiomyoma. Methods: 17 cases of cervical lipoleiomyoma admitted between September 2011 and April 2023 in the Beijing Obstetrics and Gynecology Hospital of Capital Medical University were analyzed retrospectively, including their pathogenesis, clinical characteristics, diagnosis and differential diagnosis, and treatment. Results: The average age of onset was (44.6±9.6) years. Patients mainly presented with lower abdominal pain or flank pain, menorrhagia, or asymptomatic. Ultrasound examination in all patients did not suggest cervical lipoleiomyoma, while 5 patients (29.4%) were suggested the degeneration of the myoma. Six patients underwent magnetic resonance imaging (MRI), and 2 cases detected fatty component. All 17 patients underwent surgical treatment. The cervical lipoleiomyoma ranged from 2.0 to 15.0 cm in diameter. Postoperative pathology of all cases showed cervical lipoleiomyoma. Follow-up ranged from 3 to 141 months, and only one patient had a cervical mass rediscovered at 9 months postoperatively and underwent radical surgery. Conclusions: Cervical lipoleiomyoma is a rare benign tumor, lacking specific clinical symptoms and imaging. The diagnosis mainly depends on surgical exploration and postoperative pathology, and surgery is the main treatment. Long-term follow-up after operation is required.

Key words: Cervix uteri, Uterine cervical neoplasms, Leiomyoma, Lipoma, Diagnosis, Therapy, Cervical lipoleiomyoma