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Advisor(s)
Abstract(s)
O leiomiolipoma uterino é um tumor ginecológico raro, com uma incidência de
0,03% a 0,2%, reconhecido como uma variante do leiomioma. Frequentemente,
identificado em mulheres no período pós-menopausa, sem quaisquer queixas, isto dito,
doentes assintomáticos.
Este tumor é formado por adipócitos maduros e por células musculares lisas,
visto que o útero é um órgão, que não é reconhecido como tendo um componente
adiposo, torna-se interessante a origem do mesmo. Para além disso, este tumor está
frequentemente associado a outras lesões ginecológicas assim como distúrbios
metabólicos. O diagnóstico pré-operatório exato é considerado difícil e só é confirmado
com a histopatologia.
Os principais objetivos da presente dissertação são a reunião das informações
atuais sobre o leiomiolipoma uterino, desde a epidemiologia, patogénese, como é feito o
diagnóstico, tratamento e o prognóstico, no sentido de uma melhor compreensão deste
tumor raro, para em último caso providenciar uma orientação clínica apropriada e
assim evitar procedimentos desnecessários, assegurando os melhores resultados para o
doente.
Neste estudo irá ser referido um caso de um leiomiolipoma uterino
diagnosticado no Centro Hospitalar Universitário Cova da Beira (CHUCB), numa
mulher idosa, que recorreu ao SU por hemorragia vaginal.
The lipoleiomyoma uterine is a gynecological rare tumor, with an incidence of 0,03% to 0,2% and it´s recognized as a variant of the leiomyoma tumors. It’s frequently identified in postmenopausal women with no clinical symptoms, asymptomatic women. This tumor is formed by mature adipocytes and smooth muscle cells and since the uterus is an organ recognized by not having any lipomatous component, the origin of the lipoleiomyoma becomes interesting. Additionally, it’s frequently associated with other gynecological lesions and also metabolic disorders. A concrete preoperative diagnosis is considered difficult to achieve, due to the fact that it can only be confirmed through histopathological exams. The main objectives of this dissertation are the reunion of the current information about the uterine lipoleiomyoma, such as the epidemiology, pathogenesis, diagnosis, treatment and prognosis, in order to better understand this rare tumor and to ultimately provide a proper clinical orientation, avoiding unnecessary procedures, assuring the best outcome for the patient. In this study, will be introduced a clinical case of a lipoleiomyoma uterine diagnosed in the Centro Hospitalar Universitário Cova da Beira (CHUCB), in an elderly woman, who resorted to the emergency room due to vaginal bleeding.
The lipoleiomyoma uterine is a gynecological rare tumor, with an incidence of 0,03% to 0,2% and it´s recognized as a variant of the leiomyoma tumors. It’s frequently identified in postmenopausal women with no clinical symptoms, asymptomatic women. This tumor is formed by mature adipocytes and smooth muscle cells and since the uterus is an organ recognized by not having any lipomatous component, the origin of the lipoleiomyoma becomes interesting. Additionally, it’s frequently associated with other gynecological lesions and also metabolic disorders. A concrete preoperative diagnosis is considered difficult to achieve, due to the fact that it can only be confirmed through histopathological exams. The main objectives of this dissertation are the reunion of the current information about the uterine lipoleiomyoma, such as the epidemiology, pathogenesis, diagnosis, treatment and prognosis, in order to better understand this rare tumor and to ultimately provide a proper clinical orientation, avoiding unnecessary procedures, assuring the best outcome for the patient. In this study, will be introduced a clinical case of a lipoleiomyoma uterine diagnosed in the Centro Hospitalar Universitário Cova da Beira (CHUCB), in an elderly woman, who resorted to the emergency room due to vaginal bleeding.
Description
Keywords
Benigno Leiomiolipoma Leiomioma Pós-Menopausa Útero