In the upper fundus of the uterus protruding into the endometrial cavity is a nodule that proved to be a leiomyoma. Thus, this is a submucosal leiomyoma. Such benign smooth muscle tumors of the myometrium are very common, perhaps 1 in 5 women has one. They may be the cause of irregular bleeding if placed submucosally, as seen here, or if large.