Abstract
Endometrioid carcinoma (EC) of the ovary represents a distinct subtype of epithelial ovarian cancers, comprising approximately 10%-20% of all ovarian malignancies. It is histologically similar to endometrial carcinoma of the uterus and is often associated with endometriosis. This article presents a comprehensive case report of a 64-year-old postmenopausal woman diagnosed with stage pT1aNxM0 EC of the ovary. We detail her clinical presentation, radiological and histopathological findings, surgical management, and molecular implications. Through an extensive literature review and analysis, this paper aims to emphasize the significance of early detection, the histological diversity of EC, its differential diagnosis, and current perspectives on its molecular pathogenesis and targeted therapies.