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

Re: sarcoma

From: Helen (anonymous@obgyn.net)
Thu, 13 Jan 2000 14:47:56 -0600 (CST)

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Reply: D.: "Re: sarcoma"

At Tue, 11 Jan 2000, D. wrote: >
>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.
>

--
Thank you, Dr. Hill, for your reply.  I got the pathology report this morning and it was BENIGN.  Praise God!  I suddenly felt like getting dressed and putting on a smile and greeting the world with my new hysterectomized body.  (Free of nasty lumps, bumbs and bleeding!)
Helen

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