The first step in determining if your mass is a tumor is to consult a physician. Generally, the diagnosis of uterine sarcoma requires biopsy of several sites. If a mass is rapidly growing over three months, or grows quickly during menopause, this may be a sign of uterine sarcoma. After obtaining a specimen from the uterus, a biopsy is usually performed.
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Surgical staging is another step in determining if uterine sarcoma is the cause. The surgery is a key step in diagnosing this type of cancer. A gynecologic oncologist will perform surgical staging, a process that is also performed by a surgical oncologist. In 2009, the International Federation of Gynecology and Obstetrics (IFGO) published a staging system for uterine sarcomas. The staging system includes two separate systems for each type of cancer.
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When a woman is diagnosed with a uterine sarcoma, she may experience pain in her pelvis. Her doctor may feel a mass in her uterus. Vaginal bleeding may be accompanied by a mass in up to 10% of cases. A fullness of the abdomen, a weakened or swollen cervix, or both. If a mass is present in the vagina, the symptom of a uterine sarcoma may be accompanied by an abnormal PAP smear.
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Other tests may be ordered after the diagnosis is made. These tests allow the healthcare team to learn more about the type of cancer and its possible spread. The information gained will help them determine the best treatment options for their patients. For example, if your doctor thinks you have uterine sarcoma, he will prescribe a treatment plan based on the cancer's stage. But if you don't want to undergo surgery yet, your doctor may suggest a course of treatment that will alleviate symptoms.
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When you have a suspicion of uterine sarcoma, your doctor will perform a physical exam and ask you about your personal and family medical history. Depending on the type of cancer, a doctor may recommend a biopsy or additional tests. Then, a gynecological oncologist may be consulted to perform a more detailed evaluation. If you are experiencing these symptoms, you should seek treatment as soon as possible.
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Treatment for uterine sarcoma is similar to that for endometrial cancer. Surgical removal of the ovaries and fallopian tubes may be required. Some women may also be prescribed hormone therapy after surgery. While some uterine sarcoma patients are cured, their prognosis will worsen if the cancer spreads outside the uterus. A woman suffering from uterine sarcoma may even need to undergo chemotherapy after surgery.
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A doctor may perform an MRI or ultrasound to confirm the diagnosis. If the cancer has spread outside the uterus, the doctor will biopsy the tumor and lymph nodes in the pelvic region. After surgery, he or she may rinse the pelvic cavity with a saline solution to check for cancerous cells. During this process, your doctor will also take samples of tissue around the uterus.
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Radiation therapy is another treatment option for uterine sarcoma. This treatment uses high-energy X-rays to kill cancer cells. This is usually done after a woman has had surgery. If the cancer has returned, chemotherapy is usually used in combination with radiation therapy. However, radiation therapy may lead to side effects, including hormonal imbalances, menopause, and muscle and joint pain.
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While the treatment options for uterine sarcoma are limited, the latest advances in preventing and curing the disease have improved the lives of many women. Surgical techniques have become more precise and targeted. In addition, the use of new biological agents can help patients survive longer and experience better results than invasive surgeries. And if the symptoms persist, patients should consult their physicians immediately to ensure that they receive the most appropriate treatment.
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Women who have symptoms of uterine sarcoma may have a history of uterine polyps. Occasionally, polyps are mistaken for a tumor. Patients should consult with their physicians to confirm the diagnosis. You may be referred to a gynecologist for further evaluation. If the diagnosis is confirmed, treatment may be centered on improving quality of life for women with uterine sarcoma.
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Cancer begins when cells begin to change and grow out of control. These abnormal cells then grow and spread to other parts of the body. Uterine sarcomas begin in the muscular wall of the uterus or the outer smooth layer. Other types, however, start in the inner lining of the uterus and spread to other parts of the body. In addition to atypical cell growth, the cancer can also affect the surrounding tissues, such as breast tissue or lining of the uterus.
