Difference between revisions of "Pelvic lipomatosis"
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(Created page with "'''Pelvic lipomatosis''' a very rare pathology of the pelvis. ==General== *Reported in association with cystitis glandularis.<ref>{{Cite journal | last1 = Heyns | first1...") |
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==General== | ==General== | ||
*Reported in association with [[cystitis glandularis]].<ref>{{Cite journal | last1 = Heyns | first1 = CF. | last2 = De Kock | first2 = ML. | last3 = Kirsten | first3 = PH. | last4 = van Velden | first4 = DJ. | title = Pelvic lipomatosis associated with cystitis glandularis and adenocarcinoma of the bladder. | journal = J Urol | volume = 145 | issue = 2 | pages = 364-6 | month = Feb | year = 1991 | doi = | PMID = 1988733 }}</ref> | *Benign.<ref name=pmid25247089/> | ||
*Reported in association with [[cystitis glandularis]].<ref name=pmid1988733>{{Cite journal | last1 = Heyns | first1 = CF. | last2 = De Kock | first2 = ML. | last3 = Kirsten | first3 = PH. | last4 = van Velden | first4 = DJ. | title = Pelvic lipomatosis associated with cystitis glandularis and adenocarcinoma of the bladder. | journal = J Urol | volume = 145 | issue = 2 | pages = 364-6 | month = Feb | year = 1991 | doi = | PMID = 1988733 }}</ref> | |||
Treatment: | |||
*Ureteric reimplantation.<ref>{{Cite journal | last1 = Miglani | first1 = U. | last2 = Sinha | first2 = T. | last3 = Gupta | first3 = SK. | last4 = Doddamani | first4 = D. | last5 = Sethi | first5 = GS. | last6 = Talwar | first6 = R. | last7 = Agrawal | first7 = S. | last8 = Chandra | first8 = M. | last9 = Rana | first9 = YP. | title = Rare etiology of obstructive uropathy: pelvic lipomatosis. | journal = Urol Int | volume = 84 | issue = 2 | pages = 239-41 | month = | year = 2010 | doi = 10.1159/000277606 | PMID = 20215833 }} | |||
</ref> | |||
*Debulking.<ref name=pmid25247089>{{Cite journal | last1 = Ali | first1 = A. | last2 = Swain | first2 = S. | last3 = Manoharan | first3 = M. | title = Pelvic lipomatosis: Bladder sparing extirpation of pelvic mass to relieve bladder storage dysfunction symptoms and pelvic pain. | journal = Cent European J Urol | volume = 67 | issue = 3 | pages = 287-8 | month = | year = 2014 | doi = 10.5173/ceju.2014.03.art15 | PMID = 25247089 }}</ref> | |||
*[[Cystectomy]].<ref name=pmid25247089/> | |||
==Gross/radiology== | |||
*Abundant normal appearing fat ("overgrowth") in the perirectal and perivesicle spaces.<ref name=pmid12639777>{{Cite journal | last1 = Andaç | first1 = N. | last2 = Baltacioglu | first2 = F. | last3 = Cimşit | first3 = NC. | last4 = Tüney | first4 = D. | last5 = Aktan | first5 = O. | title = Fat necrosis mimicking liposarcoma in a patient with pelvic lipomatosis. CT findings. | journal = Clin Imaging | volume = 27 | issue = 2 | pages = 109-11 | month = | year = | doi = | PMID = 12639777 }}</ref> | |||
*+/-Hydronephrosis.<ref name=pmid17657258>{{Cite journal | last1 = Xu | first1 = T. | last2 = Zhao | first2 = WH. | last3 = Wang | first3 = XF. | last4 = Huang | first4 = XB. | last5 = Xu | first5 = QQ. | last6 = Yang | first6 = B. | last7 = Ye | first7 = XJ. | title = [Analysis of pelvic lipomatosis and a case report of two brothers]. | journal = Beijing Da Xue Xue Bao | volume = 39 | issue = 4 | pages = 355-60 | month = Aug | year = 2007 | doi = | PMID = 17657258 }}</ref> | |||
==Microscopic== | ==Microscopic== | ||
Features: | Features: | ||
*Mature adipose tissue. | *Mature adipose tissue.<ref name=pmid19168848>{{Cite journal | last1 = Craig | first1 = WD. | last2 = Fanburg-Smith | first2 = JC. | last3 = Henry | first3 = LR. | last4 = Guerrero | first4 = R. | last5 = Barton | first5 = JH. | title = Fat-containing lesions of the retroperitoneum: radiologic-pathologic correlation. | journal = Radiographics | volume = 29 | issue = 1 | pages = 261-90 | month = | year = | doi = 10.1148/rg.291085203 | PMID = 19168848 }}</ref> | ||
DDx: | DDx: | ||
*[[Lipoma]]. | *[[Lipoma]] - rare. | ||
*[[Liposarcoma]]. | *[[Liposarcoma]]. | ||
Latest revision as of 00:21, 4 November 2014
Pelvic lipomatosis a very rare pathology of the pelvis.
General
- Benign.[1]
- Reported in association with cystitis glandularis.[2]
Treatment:
- Ureteric reimplantation.[3]
- Debulking.[1]
- Cystectomy.[1]
Gross/radiology
- Abundant normal appearing fat ("overgrowth") in the perirectal and perivesicle spaces.[4]
- +/-Hydronephrosis.[5]
Microscopic
Features:
- Mature adipose tissue.[6]
DDx:
- Lipoma - rare.
- Liposarcoma.
See also
References
- ↑ 1.0 1.1 1.2 Ali, A.; Swain, S.; Manoharan, M. (2014). "Pelvic lipomatosis: Bladder sparing extirpation of pelvic mass to relieve bladder storage dysfunction symptoms and pelvic pain.". Cent European J Urol 67 (3): 287-8. doi:10.5173/ceju.2014.03.art15. PMID 25247089.
- ↑ Heyns, CF.; De Kock, ML.; Kirsten, PH.; van Velden, DJ. (Feb 1991). "Pelvic lipomatosis associated with cystitis glandularis and adenocarcinoma of the bladder.". J Urol 145 (2): 364-6. PMID 1988733.
- ↑ Miglani, U.; Sinha, T.; Gupta, SK.; Doddamani, D.; Sethi, GS.; Talwar, R.; Agrawal, S.; Chandra, M. et al. (2010). "Rare etiology of obstructive uropathy: pelvic lipomatosis.". Urol Int 84 (2): 239-41. doi:10.1159/000277606. PMID 20215833.
- ↑ Andaç, N.; Baltacioglu, F.; Cimşit, NC.; Tüney, D.; Aktan, O.. "Fat necrosis mimicking liposarcoma in a patient with pelvic lipomatosis. CT findings.". Clin Imaging 27 (2): 109-11. PMID 12639777.
- ↑ Xu, T.; Zhao, WH.; Wang, XF.; Huang, XB.; Xu, QQ.; Yang, B.; Ye, XJ. (Aug 2007). "[Analysis of pelvic lipomatosis and a case report of two brothers].". Beijing Da Xue Xue Bao 39 (4): 355-60. PMID 17657258.
- ↑ Craig, WD.; Fanburg-Smith, JC.; Henry, LR.; Guerrero, R.; Barton, JH.. "Fat-containing lesions of the retroperitoneum: radiologic-pathologic correlation.". Radiographics 29 (1): 261-90. doi:10.1148/rg.291085203. PMID 19168848.