DOI: 10.17343/sdutfd.1747238 ISSN: 1300-7416

Giant Leiomyoadenomatoid Tumor of the Uterus: A Case Report

Bekir Sıtkı İsenlik, Zeynep Ozturk Inal, Orkun Han, İlknur Küçükosmanoğlu, Hasan İnal
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Adenomatoid tumors are benign mesothelial neoplasms most commonly arising in the genital tract.When the smooth muscle component predominates over the adenomatoid component, the lesion istermed a leiomyoadenomatoid tumor (LMAT), which may mimic leiomyoma or even malignancy. Accurate diagnosis is therefore essential to avoid overtreatment. We report a case of a 52-year-old woman who underwent total hysterectomy with bilateral salpingo-oophorectomy for presumed uterine leiomyoma. Histopathological and immunohistochemical evaluation revealed a leiomyoadenomatoid tumor measuring 11 cm, to the best of our knowledge, among the largest reported cases in the literature. The patient remained asymptomatic with no recurrence during atwo-year follow-up. This case highlights that large tumor size does not exclude LMAT, that histopathological and immunohistochemical evaluation is essential, and that accurate diagnosis prevents overtreatment.

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