This situation report highlights the importance of discussion with people regarding the threat of occult malignancy in the fibroid uterus. Suitable management of uterine leiomyosarcoma in pregnancy continues to be unclear. Thing to consider of removing an enlarging leiomyoma throughout caesarean section could be ideal in view of its malignant https://www.directivepublications.org/journal-of-clinical-obstetrics-and-gynecology-research/