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Synchronous tumours of the female genital tract need to be distinguished from metastatic s such as primary ovarian or endometrial cancer with metastasis to the other site. This is because the treatment approach differs in both the cases and the prognosis of synchronous tumours is better. We present three cases with common symptom of lower abdominal pain in the presentation. These three patients had undergone total abdominal hysterectomy with bilateral salpingo-oophorectomy and were diagnosed with synchronous primary endometrial and ovarian carcinoma.