Leiomyosarcoma vs pelvic masses and getting a diagnosis

Posted by franklin592262 @franklin592262, Apr 17 12:05pm

Hello, I am here trying to find as much information as possible about pelvic masses... particularly lieomyosarcomas. My oldest daughter just turned 24. She's always had rough menstrual cycles, recently she started having pelvic pain, bladder pressure, bowel issues and rectum pains....then she had groin pain followed by soft swelling in her leg, close to her knee. Her primary MD suspected the leg swelling might be a lymphnode, as it was tender and red. He started her on antibiotics and scheduled an ultrasound. The antibiotics took care of the swelling. The US showed her uterus as unremarkable with large complex pelvic mass... 11 cm... differentials were endiometrioma, cystadenoma or cystsacarcinoma.... please forgive any misspelling here.... the report recommendated a CT for better view because visualization was suboptimal. Her blood work for cancer markers was good. She received the results of her CT yesterday.... all other organs are clear, lungs, liver, etc...bowels within normal limits, etc.... no lymph node involvement....but now this radiologists is saying " worrisome for liemyosarcoma". She has an appointment with her gyno monday. I'm just looking for info on this rare cancer. I'm a little confused about her uterus being unremarkable... I was under the impression the uterus was enlarged with this cancer. I'm also unfamiliar with the term " worrisome ".... I've always seen "suspicious" used in these situations, what does worrisome mean exactly? Any info would be deeply appreciated. Thank you

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Profile picture for dwagam0n @dwagam0n

I am sorry to hear your daughter is having these issues. I was diagnosed with Leiomyosarcoma in Jan 2023. Most of my left kidney was removed in March 2023 to get the tumor, however, because of a bad diagnosis from local doctors, the nodules in my lungs were ignored for 15 months. I am now stage 4 with over 15 nodules in my lungs. My greatest suggestion would be to go to Mayo for treatment. Locally, they could not even correctly identify the cancer on the biopsy, much less treat the lung nodules at all. Mayo identified the cancer and validated the lung nodules were also Leiomyosarcoma, but that was after it metastasized to my hip. Unless you live in a very large metropolis with excellent hospital research facilities, I would go to Mayo for all surgeries and treatment. I will add your daughter to my prayer list.

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Barnes Jewish Hospital in St. Louis, MO has a Sarcoma Cancer Treatment Center, which I am attending now.

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Profile picture for dwagam0n @dwagam0n

I am sorry to hear your daughter is having these issues. I was diagnosed with Leiomyosarcoma in Jan 2023. Most of my left kidney was removed in March 2023 to get the tumor, however, because of a bad diagnosis from local doctors, the nodules in my lungs were ignored for 15 months. I am now stage 4 with over 15 nodules in my lungs. My greatest suggestion would be to go to Mayo for treatment. Locally, they could not even correctly identify the cancer on the biopsy, much less treat the lung nodules at all. Mayo identified the cancer and validated the lung nodules were also Leiomyosarcoma, but that was after it metastasized to my hip. Unless you live in a very large metropolis with excellent hospital research facilities, I would go to Mayo for all surgeries and treatment. I will add your daughter to my prayer list.

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I will second that mayo is a good choice. Any hospital that is listed as a sarcoma center is the best place to be. The top hospitals for sarcoma are md anderson (Texas), sloan kettering (ny), john hopkins in Baltimore, Mayo clinic (rochester minn) and Cleveland clinic ( Cleveland). Each state has it top hospital and you should look up the best closest to home. Where to look: see lifeRaft for gist; https://nlmsf.org/ for lms

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Profile picture for jeshaw6801 @jeshaw6801

I will second that mayo is a good choice. Any hospital that is listed as a sarcoma center is the best place to be. The top hospitals for sarcoma are md anderson (Texas), sloan kettering (ny), john hopkins in Baltimore, Mayo clinic (rochester minn) and Cleveland clinic ( Cleveland). Each state has it top hospital and you should look up the best closest to home. Where to look: see lifeRaft for gist; https://nlmsf.org/ for lms

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I suggest closest to home because it's always better if you can sleep in your own bed

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How is your daughter? Sending prayers

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Profile picture for ctflyr @ctflyr

Hello...my Wife self-discovered an abdominal mass that was eventually diagnosed as rLMS...retroperitoneal leiomyosarcoma. She had a recommeded CT scan which confirmed size and location, and was referred to a gynecological oncologist. While a regular gynecologist visit may begin the process, I'm sure she'll need to see a gynecological oncologist for confirmation and possible surgical options. There are a number of websites that provide info and a starting point. Try Googling "leiomyosarcoma" to get you started. There's also info here on the Mayo Sarcoma site as well as the general Mayo clinic site. Early detection and treatment options will be your best path now. Best of luck to you and your Daughter. It's overwhelming for sure, but there is help, hope and support out there. ❤️

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I recommend using ChatGPT. It creates a stream of answers & asks if you want more info.

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I also have leiomyosarcoma. Had a hysterectomy 2024 first CAT scan was clear second one showed tumors in my lungs and one tumor in my liver. I recommend copying results from a report and feeding them into ChatGPT.

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Profile picture for mrahaman @mrahaman

Hoping and praying for successful surgery! I am hoping they find out exactly what it is, through biopsies this should tell you, scans are good to see, but cannot diagnose it. May you and your daughter have good support, loving care and receive comfort from supportive services. Best wishes for you both!!!!

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Just responding about my case: diagnosis and surgery results.
I was diagnosed with LMS last January as a result of a Mayo analysis of the 7 biopses. The mass was 3"X2.5"X3" and found in the pelvis. The first action ended up being a series(25) of radiation applied. After a 5 week treatment (2 antibiotics for a blood infection), and a urology procedure of inserting 2 stents in the ureters, I had surgery on June 25. The result was not what any of us wanted: leftover pieces of the sarcoma. The problem was that the sarcoma inveloped the femoral nerve and a muscle (psoas). The nerve was not recoverable, and left me with a numb leg from the hip to the top of my ankle. Pt has been very good and encouraging. I walk with a walker now and working towards a cane. Cemo was offered, but at 77 and the descriptions of some of the affects of it, I decided not to participate.

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Profile picture for chuckeg @chuckeg

Just responding about my case: diagnosis and surgery results.
I was diagnosed with LMS last January as a result of a Mayo analysis of the 7 biopses. The mass was 3"X2.5"X3" and found in the pelvis. The first action ended up being a series(25) of radiation applied. After a 5 week treatment (2 antibiotics for a blood infection), and a urology procedure of inserting 2 stents in the ureters, I had surgery on June 25. The result was not what any of us wanted: leftover pieces of the sarcoma. The problem was that the sarcoma inveloped the femoral nerve and a muscle (psoas). The nerve was not recoverable, and left me with a numb leg from the hip to the top of my ankle. Pt has been very good and encouraging. I walk with a walker now and working towards a cane. Cemo was offered, but at 77 and the descriptions of some of the affects of it, I decided not to participate.

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It's not too late to start chemo. All my tumors have shrunk after 5 cycles of doxorubicin and trebectidin. On on the 6 th cycle now. Then go on maintenance chemo. I'm going to celebrate 74;in October.

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Profile picture for jeshaw6801 @jeshaw6801

It's not too late to start chemo. All my tumors have shrunk after 5 cycles of doxorubicin and trebectidin. On on the 6 th cycle now. Then go on maintenance chemo. I'm going to celebrate 74;in October.

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Hello JeShaw......
Happily noting your progress on your chemo journey!! Wishing you continued success!! As it's a difficult therapy, did you experience any significant side effects? Please email me if you care to discuss...
mrflyer@aol.com

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I had three growths in my uterus. One very large 14
0 and 2 other smaller ones. I was praying they were fibroids, but it turned out to be cysts as you named I believe w/ huge infection and stage 3 endometrial cancer. I always has extremely bad periods but assumed normal, then hit menopause etc, but had bleeding on/off then all this abdominal pain, huge digestive issues. I ended up in ER, and rush to large hospital city nearby. I was in kidney failure from the huge growths/cysts in uterus. I had surgery after it became safer to have surgery, still very risky due to extreme blood clots, but they were removed, but cancer found. I recommend getting it looked at and those growths removed before her organs and vessels, tubes start getting compromised, cause I was 2 days away from death they said from kidneys tubes were blocked and toxins were, it backing up into my body. Almost killed me and I could not feel it at all.

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