Benign Neoplasm Identified as a Fundal Uterine Fibroid

Description

Centered in the pelvis, the uterus is shown with a discrete leiomyoma (uterine fibroid, myoma) arising from the fundus, the superior convex dome of the uterine body, above the level of the tubal ostia. Laterally, the uterine cornua give rise to the uterine (fallopian) tubes, which course posterolaterally toward the ovaries, ending in fimbriae adjacent to follicle-bearing ovarian cortices. Inferiorly, the uterine body narrows into the cervix, which continues into the vaginal canal, while the uterine wall is differentiated into endometrium and thick myometrium. Fundal fibroids matter because their location predicts symptoms and guides management: an intramural mass at the fundus can distort the endometrial cavity and contribute to heavy menstrual bleeding, infertility, or recurrent pregnancy loss, while a subserosal fundal fibroid more often drives bulk symptoms and altered uterine contour. Spatial relationships to the uterine tubes and cornual region also factor into hysteroscopic versus laparoscopic myomectomy planning, and they help explain why distortion near the fundus can affect sperm and embryo transport. A common teaching point: the same histology, different consequences depending on position. Use this illustration in OB-GYN and reproductive endocrinology teaching modules to contrast intramural, submucosal, and subserosal leiomyomas, and in patient education materials explaining a fundal uterine fibroid in the context of normal tube and ovary anatomy. It also suits textbooks and review articles discussing FIGO fibroid classification, abnormal uterine bleeding, and fertility-preserving surgical approaches. Anatomical accuracy verified by SciePro's Medical Advisory Board.