Intramural fibroids get started as smaller nodules while in the muscular wall with the uterus. With time, intramural fibroids might expand inwards, resulting in distortion and elongation in the uterine cavity. A syndrome (Reed's syndrome) that causes uterine leiomyomata coupled with cutaneous leiomyomata and renal cell most cancers is noted. https://www.sgvascularctr.com/womens-health-webinar-replay/