A case of adenosarcoma of the uterus in a 59-year-old woman is here re
ported. Adenosarcoma is a low malignant glandular and a malignant stro
mal component. The treatment is usually hysterectomy with bilateral sa
lpingo-oophorectomy. Debated is the usefulness of adjuvant chemotherap
y, while radiation treatment is not beneficial. Long term follow-up is
necessary for these patients because of high recurrence risk, mostly
in cases with myometrial invasion.