title: Extragenital müllerian adenosarcoma in the pouch of douglas.
abstract: BACKGROUND
  Extragenital Müllerian adenosarcomas are extremely rare tumours characterised by a stromal component of low-grade malignancy and by a benign glandular epithelial component.
  
  
  METHODS
  A 26-year-old woman was admitted to our clinic because of lower abdominal distension and left lower quadrant pain. Clinical and radiological examinations suggested an ovarian malignancy. Laparotomy revealed a cystic mass in the pouch of Douglas, originating from the left sacrouterine ligament. A total excision of the tumour was performed and showed low-grade adenosarcoma without sarcomatous overgrowth. Follow-up at 24 months after the surgery showed no evidence of recurrence.
  
  
  CONCLUSIONS
  Mullerian adenosarcoma located in the pouch of Douglas is rare. For treatment, success may be achieved with only excision of the tumour if there is no sarcomatous overgrowth or spread to adjacent tissues.
authors.affiliation: Department of Gynecologic Oncology, Medical Park Hospital, İstanbul, Turkey.
authors.forename: Ateş
authors.initials: A
authors.lastname: Karateke
authors.affiliation: Department of Obstetrics and Gynecology, Süleymaniye Birth and Women Health Training and Research Hospital, İstanbul, Turkey.
authors.forename: Ilker
authors.initials: I
authors.lastname: Kahramanoğlu
authors.affiliation: Department of Pathology, E-Sitopatoloji Pathology Laboratory, İstanbul, Turkey.
authors.forename: Remziye
authors.initials: R
authors.lastname: Bilgiç
keywords: Adenosarcoma; Douglas; Müllerian; adnexal; extragenital; tumour