During an initial visit to the healthcare provider, a woman who suspects she has uterine sarcoma will undergo a physical examination. A woman will be asked about her family's medical history and about any symptoms she is experiencing, including abnormal vaginal bleeding, pelvic pain or discomfort, and changes in her daily bathroom habits. In addition, she will be asked about previous cancer diagnoses and treatments.
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Treatment for uterine sarcoma may include surgery and chemotherapy. Chemotherapy kills cancer cells by stopping them from dividing, preventing them from spreading. Depending on the stage, the treatment plan may be directed towards controlling symptoms, curing the disease, or simply alleviating symptoms. Patients should discuss possible side effects of their treatment options with their healthcare provider and discuss how they can best manage their symptoms.
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The most obvious symptom of uterine sarcoma is a lump in the uterus. Usually, a mass in the uterus or pelvic cavity fills the uterus and sometimes protrudes through the cervical os. Women may also experience pain in the abdomen or back. Symptoms may be vague or inconclusive. If you are experiencing any of these symptoms, seek medical care immediately. Your healthcare provider may recommend imaging studies to determine whether the cancer has spread.
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Although uterine sarcomas are rare, they are associated with poor prognosis and require surgical intervention. Most women diagnosed with uterine sarcomas undergo hysterectomy or myomectomy. Surgical treatment for uterine sarcoma includes bilateral salpingo-oophorectomy, or total abdominal hysterectomy. After initial surgery, chemotherapy or radiation therapy is recommended.
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Preoperative diagnosis of uterine sarcomas is a difficult task. Because the primary symptoms are often vague, diagnostic testing usually begins with a vaginal examination. The clinician will assess the size, contour, and mobility of the uterus. If the mass is fixed or has no mobility, it is a sign of a malignant neoplasm. It may be a tumor that has regressed after surgery, but no imaging modality can reliably differentiate it from a benign leiomyoma.
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The survival rate for uterine sarcoma is 41% to 95%. It varies depending on the stage and extent of spread of the disease. However, if the tumors are diagnosed early, treatment is still the most effective option. If the tumors have spread beyond the uterus, additional treatments may be needed to destroy the cancer cells completely. Uterine sarcoma is curable, although the outcome is not as good as in women diagnosed with early-stage disease.
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Treatment for uterine sarcoma will likely include patient follow-up. After the treatment, rectovaginal examinations are recommended every six to 12 months. These exams will then be every six to 12 months for the next two years. Chest/abdomen/pelvic CT scans should be performed at least every three years until the patient is in her fifth year of life. Finally, the patient is taught to recognize the signs of recurrence and to seek medical attention if they notice any abnormalities.
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The most common symptom of uterine sarcoma is abnormal vaginal bleeding or discharge. This is not normal for women after menopause. If you notice any unusual bleeding or discharge, contact your doctor immediately. If the tumor is small, it may be easy to treat. If the tumor is large, however, it is more difficult to treat. In the case of early-stage sarcoma, a lump may be felt or even visible.
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While uterine sarcoma is very rare, it can still be deadly. There are several symptoms to watch for when you suspect you may have the disease. Uterine sarcomas are different from endometrial cancers, which begin in the lining of the uterus. Most cases of uterine sarcoma are classified by where they start and where they grow.
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