Background: Ectopic adrenal tissue is usually seen incidentally during pediatric inguinal hernia operations, but it is uncommon in the adult female pelvis. Case: A 50-year-old woman who had had menorrhagia, dyspareunia, and abdominal distention for 12 months was hospitalized. Ultrasound examination revealed a mass containing cystic and solid regions at the right adnexa. The patient had total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic and para-aortic lymphadenectomy because malignant stromal tumor was found at frozen section. The final pathologic diagnosis of the case was granulosa cell tumor on the right ovary and ectopic adrenal cortical tissue in the left ovary. Results: Her postoperative course was uneventful, and she was discharged after her 7th day postoperative. Conclusions: The germ and adrenal gland cells migrate together during the embryologic period. The coexistence of adrenal gland and granulosa cell tumor may be due to this migration theory. (J GYNECOL SURG 28:220)
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