Endometrioid Adenofibroma Arising in an Endometriotic Cyst

The document reports on a 46-year-old female who experienced pelvic pain and postmenopausal bleeding and was found to have a complex lesion in the right adnexum, suspected to be neoplastic. Upon surgical investigation, the lesion was identified as a benign endometrioid adenofibroma within an endometriotic cyst, a rare occurrence. The patient was treated with a total abdominal hysterectomy and associated procedures, which resulted in normalized testosterone levels and improvement in hirsutism and baldness. The case highlights the necessity of distinguishing adenofibroma from endometriosis and the importance of thorough sampling to detect any potential borderline or invasive areas. The document is a single case report and does not include a study population.