A case of early triple malignancies originating in the uterine cervix, endometrium and ovary is reported. A 35-year-old Japanese woman was treated for carcinoma in situ of the cervix by laser conization. Fourteen months later she underwent a modified radical hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and pelvic and para-aortic lymphadenectomy for a diagnosis of endometrial carcinoma and possible ovarian cancer. The ~istology of the endometrial cancer revealed an adenoacanthoma without myometrial invasion and a coexisting atypical hyperptasia. The ovarian cancer was an endometrioid adenocarcinoma with a benign cystadenoma in the adjacent area, thus giving the diagnosis of simultaneously occurring, independent primary lesions. Because peritoneal cytology was negative and no metastasis was observed, each of the endometrial and ovarian cancers was classified as stage la. This case of triple primary malignancies originating from the genital tract is rare. Only 13 previous cases are reported in the literature.Int J Clin Onco11997;2:51-54