Uterine fibroids (leiomyomas, myomas) are the most common tumor formations of the uterus. These are tumors with benign potential and the occurrence of malignancy or finding of leiomyosarcoma is rare. Fibroids can occur in any part of the uterus. They can appear on the cervix and the corpus in the broad ligament. The general classification of fibroids is based on their localization and is divided into intramural, submucosal, and subserosal fibroids. The appearance of uterine fibroids on ultrasound is determined by the structure of the tumor itself. Therefore, there are several types of classifications that aim to localize the tumor itself preoperatively. The most commonly used one now is by the International Federation of Gynecology and Obstetrics (FIGO) PALM-COEIN (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not yet classified) classification. From what has been stated so far, it can be seen that ultrasound is essential in the detection of fibroids, their number, dimensions, and topography in terms of the body of the uterus, but also important information about the relationship between the tumor and the cavity of the uterus. Three-dimensional (3D) ultrasonography improves the image of leiomyoma, volume, and localization. With 3D saline infusion sonohysterography (SIS) ultrasonography, it is possible to make a solid presurgical score et sub mucous leiomyoma in terms of treatment choice and certainly a prognosis in terms of preserving the reproductive potential of the uterus.
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