For the first time carcinoid metastases in a uterine myoma with unsuspicious adnexes is described. In the reported case a carcinoid syndrom did not exist; the excretion of 5-hydroxyindolacetic-acid appeared to be within normal limits. In cases of a carcinoid within the female genital tract total hysterectomy with bilateral adnectomy is always advised, even if it requires repeated laparotomy.