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Lipomatous tumour of the uterus: radiographic and ultrasonic appearance

Department of Radiology, Pennsylvania Hospital, 8th and Spruce Streets, Philadelphia, Pennsylvania 19107

This excerpt was created in the absence of an abstract.

Masses in the pelvis that are shown to contain fat on X-ray are usually thought to be ovarian in origin. An unusual lipomatous tumour of the uterus, seen on plain radiographs and on ultrasound, is presented. This is the first report of the pre-operative demonstration of such a tumour by X-ray or ultrasound.

A 59-year-old white female was admitted for evaluation of a pelvic mass. She had been in good health until four days prior to admission when she noted pain in her right hip and a sensation of pressure in her pelvis. Physical examination revealed a large, hard, irregular pelvic mass extending upward to the level of the umbilicus. On the plain film of the abdomen there was a rounded mass in the pelvis measuring approximately 18 cm in diameter. The central portion of this was radiolucent and surrounded by a relatively uniform soft tissue density measuring 1–2 cm in thickness (Fig. 1).

Received for publication March 1, 1979.