Symptoms of Uterine Sarcoma - Oren Zarif - Uterine Sarcoma
- Oren Zarif
- Apr 12, 2022
- 3 min read
The symptoms of uterine sarcoma usually begin with unusual vaginal bleeding. These bleedings often appear as a watery pink discharge. In early stages, a woman may also experience enlargement of the abdomen, abdominal pain, and constipation. Her doctor may also order imaging tests, such as a pelvic examination. If these symptoms persist for more than a week, she should be evaluated by a medical oncologist.
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A doctor will perform a physical exam to determine whether you have uterine sarcoma. During the exam, they will ask you about your family's medical history and ask you about your symptoms, such as changes in your bathroom habits, unusual vaginal bleeding, or pain in the pelvic area. They may also ask you about any prior cancer diagnoses or treatments you've had. The doctor may perform an endometrial biopsy to determine the presence of a tumor.
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Vaginal bleeding or spotting is another symptom. The pain or fullness can be a sign of uterine sarcoma. However, 10% of women with this cancer experience no vaginal bleeding. Vaginal discharge is often a sign of an infection or a non-cancerous condition, such as cystic fibrosis. However, it can also be a sign of cancer.
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After treatment, the patient will receive regular checkups to monitor the progression of the cancer. During the first couple of years after treatment, rectovaginal exams should be done every 3-4 months, and every six-12 months thereafter. Chest/abdomen/pelvic CT scans are usually recommended every six months and should be repeated every two years for the remaining time. After treatment, patients are taught to follow certain instructions.
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Although the symptoms of uterine sarcoma can be vague, it is imperative to undergo preoperative diagnosis to avoid any complications. Vaginal examination is the first step toward a diagnosis. The clinician can assess the uterus' size and contour, and assess mobility. If the mass is fixed or irregular in shape, it raises suspicion for leiomyoma, although no exam can reliably differentiate this type of neoplasm from benign lesions.
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Cancer is a dangerous disease. It starts when cells grow out of control. These abnormal cells can invade nearby tissues and can spread to other parts of the body. Uterine sarcoma is a rare type of cancer. It begins in the muscular lining of the uterus or its outer smooth layer. Most cancers in the uterus are endometrial and begin in the inner lining.
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Symptoms of uterine sarcoma vary between types of cancer. Early symptoms include abnormal uterine bleeding. If you notice these symptoms, see a doctor as soon as possible. A woman with a history of uterine sarcoma is more likely to survive than a woman who does not develop the disease. Although the exact cause of uterine sarcoma is unknown, research has shown that a person with a family history of the disease is more likely to develop it.
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When you have a suspected uterine sarcoma, you should be referred to a gynecologic oncologist who can stage the disease. The World Health Organization (IFU) published a classification system for uterine sarcomas in 2009. The criteria for staging a uterine sarcoma is based on two distinct systems.
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The treatment for uterine sarcoma involves a combination of surgical intervention and chemotherapy for patients with advanced disease. Adjuvant chemotherapy and radiotherapy for advanced disease are not commonly used in early-stage sarcomas. Surgical treatment is the standard of care. However, if the disease is not caught in time, adjuvant therapy may be used to treat it. Depending on the stage of the disease, adjuvant therapy can be effective.