WOMENS-HEALTH Messages for January, 2000: Re: sarcoma

Re: sarcoma

From: D. (anonymous@obgyn.net)
Tue, 11 Jan 2000 20:47:32 -0600 (CST)

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At Tue, 11 Jan 2000, Helen wrote:

>I had a hysterectomy 5 days ago. (I am 53, post menopausal.) My doctor
>told me after the surgery that I had a fist-sized mass in my uterus and
>that he suspects it to be a sarcoma as it is something that had doubled
>in size in just a short time.

The path report should be back tomorrow or the next day, and I truly hope it is normal. Although a rapidly growing uterine mass is suspicious for a sarcoma (cancer of the uterine muscle), it is much more likely that this is a leiomyoma, commonly called a "fibroid." These are benign and are far more common than sarcomas. Sarcomas represent only 5% of uterine cancers. However, they can be very difficult to treat. If the worst-case situation develops and you have a sarcoma, here are some thoughts:

*Have the path report reviewed by an expert in gyn pathology. Sarcomas are very tricky to diagnose.

*Expect to undergo a chest x-ray, and perhaps a CT scan of the chest and possibly abdomen.

*Obtain a referral to a gynecologic oncologist to determine if you need further surgery (to remove lymph nodes, etc).

*The gyn oncologist will help you decide if frequent pelvic exams, radiation, or chemotherapy is best. Again, sarcomas are tricky, and there is conflicting information about which therapy works best.

I will keep you in my thoughts.

Sincerely,

--
David Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
http://home.mpinet.net/dahmd

My apologies, but due to time constraints I am unable to answer private e-mails.

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