Uterine fibroids are the most common benign tumor of female genital organs，the incidence of 20% to 40%，it is noteworthy that the literature in recent years have reported some types of special uterine fibroids，the clinician and pathologist in the diagnosis and treatment may be misdiagnosed as malignant，This article summarizes a relatively common type of pathological features，diagnosis and treatment of priorities，in order to reduce misdiagnosis，select the appropriate surgical approach to avoid overtreatment.