Fibroid grows on the endometrium, which is a manifestation of uterine fibroid, and it is more common among women. The treatment should be based on the patient’s age, symptoms and fertility requirements, as well as the type, size and number of fibroids, and the common treatments include medication and surgery. 1. Observe that asymptomatic leiomyosarcoma generally does not need treatment, especially in near-menopausal women. After menopause, most of the leiomyomas may shrink and the symptoms may disappear. Follow-up visits should be made every 3 to 6 months, and further treatment may be considered if symptoms appear. 2. Drug treatment: It is suitable for those who have mild symptoms, near menopausal age or whose systemic condition is not suitable for surgery, and the commonly used drugs are: gonadotropin-releasing hormone analogs, mifepristone and so on. 3. Surgical treatment: when the fibroid grows on the endometrium, if the size of fibroid is large, it needs to be removed through surgery, and myomectomy or hysterectomy will be chosen according to the patient’s condition. When found endometrial fibroid is, should go to the hospital in time to identify the cause of the disease, and actively cooperate with the doctor’s treatment.