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Key Clinical Message Endometrial Carcinoma Arising from Adenomyosis (EC‐AIA) is an unusual condition, primarily occurring in postmenopausal women. We present a rare case of a 34‐year‐old woman with EC‐AIA, highlighting the diagnostic challenges in distinguishing this malignancy from adenomyosis preoperatively. Conventional imaging methods exhibited limitations, necessitating post‐surgery confirmation through comprehensive examinations. The case emphasizes the need for a multidisciplinary approach for accurate diagnosis and timely management in such uncommon gynecological conditions.