Uterine fibroids (also known as leiomyomas or myomas) are the most common benign tumors in women of reproductive age, originating from myometrial smooth muscle cells of the uterus. 

The morphology of uterine fibroids may vary greatly:

  • They can be solitary or appear in multiple clusters.
  • Their size range is considerable, from minuscule to giant masses of 20cm of diameter.

Uterine leiomyomas are classified based on location:

  • subserosal (projecting outside the uterus)
  • intramural (within the myometrium)
  • submucosal (projecting into the uterine cavity).

Some fibroids develop on stalks that grow out from the surface of the uterus or into the cavity of the uterus. They might look like mushrooms. These are called pedunculated fibroids.
Size, number, and location of the fibroid affect symptomatology and treatment options.

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