We describe a rare case of extrauterine adenosarcoma, the first arisin
g in the Pouch of Douglas, in a 49-year-old premenopausal woman with a
n elevated CA 125. The tumor consisted of benign glandular and maligna
nt stromal elements. There was no associated endometriosis. Previously
reported cases of extragenital adenosarcomas are reviewed. (C) 1994 A
cademic Press, Inc.