There are only two published case reports of lipoleiomyoma in the English literature. We report a case of lipoleiomyoma of the ovary in a woman who was in her fifties. She presented with a gradually progressive abdominal mass of 8 months duration. Abdominal imaging showed a large mass that was fed by right ovarian pedicle. Right ovary was not visualised. The excised mass was nodular and encapsulated; the cut section was yellowish with scant grey–white whorled areas. Microsections showed a mature adipose tissue admixed with leiomyomatous areas without cellular atypia and adjacent compressed ovarian tissue. Immunohistochemical staining showed diffuse positive reaction for desmin confirming that spindle cells were smooth muscle cells. A diagnosis of lipoleiomyoma of the ovary was made based on the radiological, histopathological and immunohistochemical findings.

Primary leiomyoma is a rare tumour of the ovary.¹ Lipoleiomyoma of the ovary is even more uncommon. There are only two published case reports of lipoleiomyoma of the ovary in the English language literature.^2,3 We report here a case of primary lipoleiomyoma of the ovary because of its rarity. It can also be occasionally misdiagnosed as sarcoma on clinical …