When a woman has leiomyosarcoma, first of all, she should clearly diagnose where the leiomyosarcoma is located, the size of the leiomyosarcoma, and what kind of uncomfortable symptoms she has, and then choose the treatment method according to these situations. The treatment methods are as follows: 1. Expectation therapy, when the fibroid is less than 3cm, you should expect and observe it to see whether it grows or not, and whether it grows fast or not, and you can do ultrasound to monitor your symptoms. Ultrasound is generally required to be done once in half a year, so that it has enough time to grow and grow fast, not fast, 3cm at the beginning, to a year later or 3-4cm, i.e., its growth is not fast; 2, medication, such as patients with symptoms, bleeding patients have to be treated, and the treatment should be directed at bleeding to treat the symptoms; 3, surgery, leiomyosarcoma is larger than 5cm, and at the same time, there are symptoms, and then combined with their own needs, such as to give birth to a child, pregnancy If the tumor is larger than 5cm and has symptoms at the same time, combined with one’s needs, such as giving birth to a child or getting pregnant, and there is a long tumor at the same time, it is recommended to do surgery as long as the tumor is larger than 5cm, which affects the pregnancy and is easy to abort. Surgery should be done to remove the fibroid and then sew the uterus; 4. Hysterectomy, if the fibroid is large, the symptoms are heavy, and there is no requirement for childbearing, then it is necessary to solve the problem of bleeding and the problem of fast growth and malignant change of the fibroid, and then do the hysterectomy. The uterus is symptomatic, heavier, and will bleed if the symptoms are heavy, along with compression symptoms. Then there is a total hysterectomy of the uterus when the age is greater than 45, sometimes more symptomatic than 40, and there is no reproductive requirement.