Bekir Sıtkı ISENLIK, Zeynep OZTURK INAL, Orkun HAN, Ilknur KUCUK OSMANOGLU, Hasan Ali INAL
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi - 2026;33(2):220-223
Adenomatoid tumors are benign mesothelial neo-plasms most commonly arising in the genital tract. When the smooth muscle component predominates over the adenomatoid component, the lesion is termed a leiomyoadenomatoid tumor (LMAT), which may mimic leiomyoma or even malignancy. Accurate diagnosis is therefore essential to avoid overtreat-ment. We report a case of a 52-year-old woman who underwent total hysterectomy with bilateral salpin-go-oophorectomy for presumed uterine leiomyoma. Histopathological and immunohistochemical evalua-tion revealed a leiomyoadenomatoid tumor measur-ing 11 cm, to the best of our knowledge, among the largest reported cases in the literature. The patient remained asymptomatic with no recurrence during a two-year follow-up. This case highlights that large tu-mor size does not exclude LMAT, that histopathologi-cal and immunohistochemical evaluation is essential, and that accurate diagnosis prevents overtreatment.
