Abstract: Objective: To investigate the clinical and pathological features of the uterine adenomatoid tumors (UATs) and to study the difference between the UATs and general leiomyoma or adenomyosis. Methods: Clinical and macroscopic features in 98 cases with UATs were observed. Results: The incidence of UATs was 1.32%, nearly 70% of the cases were incorporated with leiomyomas or adenomyosis. Some important characteristics for at least one third of the UATs can be identified on gross examination in the current series, especially in the follow features: to be soft and humid on cross section, with a mucoid and drawing-off feeling; the fascicles were rough and formed into gridding or fine compact holes with inside translucence watery mucoid content, but not blood. Conclusion: The UATs must be included in the differentiated category of uterus nodule lesions, the mucoid and drawing-off feeling, gridding and small holes structure with mucoid content are characteristic features that help us to differentiate the UATs from other lesions of the uterus.