The most common symptom of uterine sarcoma is abnormal vaginal bleeding or discharge. While some women may have this discharge, others may have a vaginal mass or discharge without any blood. Abnormal vaginal bleeding is not always a sign of cancer, however, and should be reported to your doctor. In addition to a physical exam, your doctor may order imaging tests to confirm the diagnosis.
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One of the main symptoms of uterine sarcoma is abnormal vaginal bleeding or spotting. Vaginal bleeding is unusual after menopause, and in approximately 10% of cases, no blood is visible in the discharge. Some women may also experience abdominal fullness or pain, but this is often an undiagnosed condition. Symptoms of uterine sarcoma can be difficult to diagnose, so a pelvic examination will be necessary to detect the disease.
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Treatment for uterine sarcoma is focused on reducing the chances of recurrence. Although the survival rate for uterine sarcomas varies, it is generally between forty-five percent and ninety percent. The survival rate for women with uterine sarcoma depends on the type of tumor and how far it has spread. If you experience any of the symptoms described above, it is important to see a medical professional.
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If you are diagnosed with uterine sarcoma, you will be able to find out what stage the cancer is in and how far it has spread. Your doctor will explain the various treatment options, which will be tailored to your specific cancer stage and your overall health. The goals of treatment may be to prevent the spread of the cancer, control it or relieve the symptoms. To reduce your risk of cancer, talk with your healthcare team about any potential side effects of the drugs you are receiving.
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Because uterine sarcomas are so heterogeneous, it is important to know the symptoms of each type to determine if you have this cancer. The World Health Organization (WHO) has published a classification system for uterine sarcomas based on their cell origin and differentiation. Uterine carcinosarcoma is the most common type, and is made up of mixed epithelial and mesenchymal tumors.
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A diagnostic evaluation of uterine sarcoma may include a vaginal examination and diagnostic imaging. The ultrasound may identify features of sarcoma, including poor echogenicity and irregular vessels distribution. In some cases, a woman may have symptoms of uterine sarcoma, including abnormal vaginal bleeding, abdominal pain, and pelvic pain. Because the symptoms of uterine sarcoma are so vague, a diagnosis of sarcoma is often made retrospectively after surgical removal of a suspected benign neoplasm. Imaging tests cannot differentiate leiomyoma from benign neoplasms.
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There is no known cure for uterine sarcoma, and treatment for this tumor is limited. While uterine sarcomas are relatively rare, they tend to behave aggressively and have a poor prognosis. Surgical resection is typically the first step in treatment. Adjuvant therapy may be used in patients with the disease, although this has not been studied enough to make a definitive decision on its efficacy.
