Abstract
Endometrial adenosarcoma is a rare and aggressive uterine malignancy composed of both epithelial and stromal components, most commonly affecting postmenopausal women. This case report describes the diagnosis of endometrial adenosarcoma in a 52-year-old woman who presented with abnormal vaginal bleeding. A hysterectomy was performed, and a histopathological examination confirmed the diagnosis. Due to the high risk of recurrence, the patient underwent surgical resection followed by adjuvant chemotherapy. Given the rarity of this tumor, its management presents a significant clinical challenge. This case underscores the diagnostic approach, therapeutic strategies, and the critical role of close follow-up in managing endometrial adenosarcoma.