The first step in identifying uterine sarcoma is to perform a pelvic exam, including a physical examination of the cervix, fallopian tubes, ovaries, and vagina. This will also include an ultrasound of the vagina and abdominal cavities. In addition, a biopsy may be required to confirm the diagnosis. The following symptoms and signs may be indicative of a sarcoma.
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The main symptom of uterine sarcoma is unusual vaginal bleeding, typically a watery pink discharge. Abnormal discharge may also be a sign. A physician will also order a pelvic examination to rule out other conditions that may be causing the discharge. If the discharge is bloody, the doctor will need to examine the vagina to rule out other conditions. Uterine sarcoma is most easily diagnosed when it is small and easy to treat.
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Once diagnosed, radiation therapy is an option to cure the tumor. Radiation therapy uses high-energy X-rays to kill cancer cells. Radiation therapy can be either internal or external, delivered from a machine placed outside the body. Some patients have both internal and external radiation therapy. Chemotherapy is another option and involves the administration of drugs to kill cancer cells. Chemotherapy medications are usually given intravenously, but have major side effects.
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If the cancer has spread to structures outside the uterus, it can cause symptoms in the rectum, urinary bladder, and lymph nodes. If the cancer spreads beyond the uterus, it can also affect the surrounding tissues, including the adnexa, pelvic region, back, and legs. When symptoms are present, treatment should be sought as soon as possible. Symptoms of a recurrence include bleeding from the vagina, loss of appetite, and weight.
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The cancer is an irregular growth of cells inside the uterus that does not respond to normal cell signals and does not organize properly. The resulting tumor will form a mass that will grow within the uterus and may break through into other layers of the uterus. The uterus is part of the reproductive system and has the cervix, which is the source of cervical cancer. The Rector and Visitors of the University of Virginia made edits to the original article. While this website is not intended to provide medical advice, it can provide useful information for women concerned with symptoms and treatment options.
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Often, the primary symptom of uterine sarcoma is not easily diagnosed. However, clinicians should begin by evaluating the mass and its size, contour, and mobility. If a mass is fixed and not moving, it may be a sarcoma and should be investigated. In addition, a mass containing a fixed or scattered haemorrhagic or necrotic component should be suspected of being a leiomyoma. This type of tumor can be detected with imaging but cannot reliably differentiate from a benign leiomyoma.
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The treatment of uterine sarcoma depends on the stage of the disease. Early-stage sarcoma patients usually undergo hysterectomy and salpingo-oophorectomy. In rare cases, the treatment for sarcoma may involve preservation of the ovaries. However, this is rarely possible. In such cases, it is important to seek prompt diagnosis. A specialized gynecologic surgeon can perform an MRI or CT scan.
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The signs and symptoms of uterine sarcoma can be hard to identify. Because these tumors are categorized according to their origin, they are often grouped together. The World Health Organization has created a classification system for these tumours based on their histological features, growth patterns, and response to therapy. There are two major types of uterine sarcoma: leiomyosarcoma and endometrial stromal sarcoma.
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Although rare, uterine sarcomas are the leading cause of a woman's death from uterine cancer. There are many subtypes of the disease, including leiomyosarcomas, endometrial stromal tumors, and adenosarcomas. Patients with uterine sarcoma are usually diagnosed after a surgical intervention. The treatment for these cancers should employ an interdisciplinary approach, and adjuvant chemotherapy may be used after the initial surgery, but this is not proven to improve patient survival.
