Abstract The adult granulosa cell tumor clinically presents with symptoms of metrorrhagia or amenorrhea due to high serum estrogen levels and these patients may have endometrial hyperplasia in one third of cases and endometrial cancer in 10% of cases. We present a 70yearold female, postmenopausal having history of pain and mass per abdomen of one and half month duration. On ultrasonography it was right ovarian mass and fibroid uterus. She underwent abdominal hysterectomy, and on histopathology it was found to be endometrial carcinoma gradeII with adult granulosa cell tumor both ovaries. We report this case for its unusual clinical presentation, radiological and histopathological findings.