We report on two similar cases of young women with irregular menstrual
bleeding. Curettage and biopsy revealed an adenofibroma of the uterus
in case 1 (31 yrs) and an uterine adenosarcoma in case 2 (30 yrs). Hy
sterectomy was subsequently performed in both ptaients: histological e
xamination of the hysterectomy specimen showed no remnants of the tumo
ur in case 1. There was adenosarcoma tissue in the uterine cavity of c
ase 2 but no myometrial infiltration. The difficulties of differential
diagnosis of uterine soft tissue tumours in young women are discussed
and the literature is reviewed.