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Background The malignant transformation of endometriosis within the ovary is a recognised condition. There is less literature surrounding the malignant transformation of extra-ovarian endometriosis (MEOE). Aims We report our experience with MEOE in ten patients and present a review of the literature regarding this rare malignancy. Materials and methods For this retrospective case series, patients were identified from a practice-based database. Where required, operative notes and pathology reports were reviewed. Results Ten patients diagn