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Ovarian endometrioid malignancies with sex cord like elements are extremely rare. These neoplasmsoften get misdiagnosed as sex cord stromal tumors. Although Sertoliform variant of endometrioidadenocarcinoma has been well documented, an endometrioid adenofibroma with sertoliform tubules hasnot been reported so far in the literature. We report a case of postmenopausal woman with endometrialgrowth which has been reported as Malignant Mixed Mullerian tumor. She also had an incidental ovarianmass which showed features of an endometrioid adenofibroma with areas resembling sertoli like tubules.This case report is to emphasize the potential of misdiagnosing these entities as sex cord stromal tumors.Keywords: Sex cord stromal tumor, Endometrioid adenofibroma, Malignant mixed mullerian tumor.

An incidental ovarian endometrioid adenofibroma with sertoliform tubules in a patient with endometrial malignant mixed mullerian tumor