A symptom of uterine sarcoma is abnormal vaginal bleeding, often watery and pink in color. During a pelvic exam, a doctor will look for abnormalities, including bleeding or lumps. She may order imaging tests to determine if there is a mass. Symptoms of uterine sarcoma can range from mild to severe. In rare cases, a biopsy is necessary to diagnose the condition.
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Sometimes, patients may experience no symptoms until the cancer has progressed to an advanced stage. Other women may not experience symptoms until the disease has spread. Uterine sarcoma is a cancer of the uterus that develops in the muscular wall and myometrium. Scientists do not know what causes uterine sarcoma, but ongoing research is needed to develop a better understanding of how to treat it.
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Uterine sarcomas are rare tumors of the uterus. Formerly called malignant mixed Mullerian tumors, they have dedifferentiated from normal cells. Patients with uterine sarcoma typically undergo hysterectomy, followed by peritoneal lavage and citology. For maximum tumour debulking, a peritoneal sarcoma may be performed. Adjuvant therapy may be recommended.
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If you notice any symptoms of uterine sarcoma, seek medical treatment. Your healthcare provider will explain the type of treatment available. Depending on the stage of the disease, your treatment options may be surgical, medical radiation, or a combination of both.
Treatment goals will vary depending on your condition, your overall health, and test results. Your goal may be to cure the cancer, control its symptoms, or ease symptoms. Your healthcare team will discuss the risks and benefits of each treatment option.
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The exact cause of uterine sarcoma is unknown, but certain factors increase your risk. Lifestyle choices, family history, and genetic makeup may all increase your risk for developing this cancer. Your healthcare provider will discuss your specific risk factors with you and make sure that you understand the risks that may lead to this condition. You should also discuss any risk factors you have with your healthcare provider, as they may impact your risk of developing uterine sarcoma.
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When suspected, a doctor will perform a physical exam to determine whether you have uterine sarcoma. The doctor will also ask about your personal and family medical history and may order tests to confirm a diagnosis. Symptoms of uterine sarcoma include irregular vaginal bleeding, changes in bathroom habits, and pain or discomfort in the pelvic area. Your healthcare provider will also ask about any previous cancers you've had and what treatment you received for them.
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After a diagnosis of uterine sarcoma, patients will be monitored closely for several years. In the first two years, patients will be scheduled for rectovaginal examinations every three to four months. After three years, these exams will be every six to twelve months, until you reach the fifth year. If you have a tumor that has spread outside the uterus, you'll probably require additional treatment to destroy all the cancer cells.
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Although the risk of uterine sarcoma is between 20 and 40 percent, women of reproductive age are at a higher risk for myoma. As a result, clinicians need to be careful to distinguish between the two. Myoma can be removed with radical surgery, while uterine sarcoma requires more aggressive treatment. However, in the early stages, the prognosis of uterine sarcoma is significantly better than that of endometrium cancer.
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If your uterus has metastasized to nearby lymph nodes, your doctor will probably perform a radical hysterectomy. In this procedure, your uterus and the upper part of the vagina, along with the ovaries, are removed. Sometimes, your doctor will also remove your cervix and your fallopian tubes. A biopsy will show the presence of cancer cells. If the biopsy is positive, your doctor will perform a pelvic laparoscopy to determine if it has spread to other parts of your body.
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Surgery is the most common treatment option for uterine sarcoma. Both surgical oncologists and gynecologic surgeons are skilled in this procedure. In 2009, the International Federation of Obstetrics and Gynecology and Obstetrics published a system for evaluating uterine sarcomas. This new system includes two distinct staging systems.
