While symptoms vary by person, they are typically consistent in many cases. Vaginal bleeding is the most common symptom of uterine sarcoma. It can look like pink or watery discharge and can be accompanied by pelvic fullness. A physician will perform a physical exam to check for this cancer, and may order imaging tests. A medical history of the patient and family members will be gathered as well.
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Other symptoms can occur if the disease recurs. These include bleeding from the vagina and urine bladder, loss of appetite and weight loss, abdominal pain, pelvic pain, back pain, and hip pain. In severe cases, the patient may also experience shortness of breath and oedema in the legs. Treatment for uterine sarcoma will vary depending on the type of tumor.
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A doctor may suspect uterine sarcoma when the patient has unusual vaginal bleeding. In about 85% of cases, the woman has irregular vaginal bleeding after menopause. Moreover, fluid in the uterine cavity may not be indicative of uterine sarcoma. Rather, it is likely to be a benign tumor called uterine fibroids. Fibroids can lead to accumulation of intrauterine fluid and a narrowing of the cervical opening.
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Preoperative diagnosis of uterine sarcoma is difficult because the primary symptoms of uterine sarcoma are often vague. It is therefore recommended to start with a vaginal examination. Clinical evaluations can evaluate the size, contour, and mobility of the uterus. A fixed mass is more indicative of a malignant neoplasm but can also be a sign of pelvic infection or endometriosis. Further, imaging methods cannot reliably distinguish between benign and malignant neoplasms.
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Although uterine sarcomas are heterogeneous in behavior, they are usually classified into mesenchymal and mixed epithelial tumours. According to the World Health Organization, sarcomas are classified according to their tissue of origin, differentiation, growth pattern, and cell type. Tumors of this type are generally classified as mesenchymal tumors, while mixed epithelial tumors include adenofibromas.
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The most common symptom of uterine sarcoma is painful bleeding during pregnancy. Patients should seek immediate medical attention if they experience any of the symptoms mentioned above. Oftentimes, a woman may not even realize that she has uterine sarcoma. A biopsy will reveal the presence of the cancer. If the symptoms are persistent, a doctor may recommend further testing to determine the type of sarcoma and the treatment needed.
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Treatment for uterine sarcomas varies according to the stage of the disease. Patients should undergo surgery when the cancer is advanced. Gynecologic oncologists perform surgical staging to determine the best course of treatment. In most cases, a total abdominal hysterectomy or bilateral salpingo-oophorectomy is required. In some cases, radiation therapy and chemotherapy may be used to treat the disease.