Diagnosed with sarcoma? Let's share

Because sarcomas are rare, I would like to start a conversation to help connect people living with sarcoma or caring for someone with sarcoma.

As you know, sarcoma is the general term for a broad group of cancers that begin in the bones and in the connective or soft tissues (soft tissue sarcoma). There are many different types and sub-types of sarcomas, for example: angiosarcoma, chondrosarcoma, Ewing’s sarcoma, fibrosarcoma, gastrointestinal stromal tumor (GIST), Kaposi's sarcoma, leiomyosarcoma, liposarcoma, malignant peripheral nerve sheath tumor, osteosarcoma, pleomorphic sarcoma, rhabdomyosarcoma, synovial sarcoma and more.

Let's get to know one another. Why not start by introducing yourself? What type of sarcoma have you been diagnosed with?

Interested in more discussions like this? Go to the Sarcoma Support Group.

Profile picture for Kathy @kathythornjohnson

Hi. I was diagnosed with myxoid liposarcoma with round cell when I was 47. I was misdiagnosed locally for two years prior to get a diagnosis from Mayo. I have had one large primary tumor in my thigh. I've had three distant recurrences. I will be celebrating my 6th year survival anniversary in August. I've found much support on the sarcoma support groups on Facebook.

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@kathythornjohnson What a wonderful reply to my asking you for some words of encouragement/advice to others dealing with sarcoma. You have covered many of the situations that we all encounter when we deal with a chronic illness, but especially those with sarcoma. Thanks so much! Teresa

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Profile picture for Kathy @kathythornjohnson

Hi. I was diagnosed with myxoid liposarcoma with round cell when I was 47. I was misdiagnosed locally for two years prior to get a diagnosis from Mayo. I have had one large primary tumor in my thigh. I've had three distant recurrences. I will be celebrating my 6th year survival anniversary in August. I've found much support on the sarcoma support groups on Facebook.

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What I've learned during the last 6 years:*The actuality of my situation is rarely as awful as my imagination.*There is always reason for hope. What you hope for may change but there is always hope.*Dont believe everything you read on the Internet about your prognosis. Often, what you read on the Internet is best case or worst-case. We are rarely best case or worst-case. *When your situation is hardest remember that you can get through the next 60 seconds. Break it down as much as you need to. *If you are working with Mayo Clinic, you have world renowned doctors who see Sarcoma daily in your corner. Make certain you are at a sarcoma center. A regular oncologist may only see one or two sarcomas in their career. *Don't ignore your mental health. Ask for help getting through treatment and the fear following treatment. There are options. 

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Profile picture for Carolyn @cvandyke

In December 2016, I was diagnosed with low grade metastatic uterine leiomyosarcoma. I had some troubling symptoms in December 2014. A CT scan indicated a very large uterine tumor, and I was scheduled for a radical hysterectomy. I was told the tumor was the size of a softball. The pathology report came back with a rare diagnosis of a Smooth Muscle Tumor of Uncertain Malignant Potential (STUMP), which means that the tumor wasn't benign, but it didn't qualify as being considered malignant either. The pathology report was sent to Mayo Clinic and two pathologists confirmed the diagnosis. My surgical oncologist, who is very well respected both nationally and internationally, indicated that he had never had a patient with this diagnosis. The protocol indicated no further treatment other than to monitor me through regular CT scans. My first six month scan indicated a tumor in one of my kidneys. I was referred to an urology oncologist for surgery. The pathology report indicated I had Chromophobe renal cell cancer, which also is somewhat rare. Once again, Mayo Clinic confirmed the pathology report. Surgery was the only treatment with CT follow-ups. In March 2016, a CT scan of my lungs indicated a small nodule. Six months later, there were a couple more nodules and by December, a CT scan showed 4 nodules. At that point, it was felt that one nodule was big enough to biopsy. The diagnosis was a low grade metastatic leiomyosarcoma as the biopsied tissue was uterine based and tested positive for estrogen. Three doctors from Mayo confirmed the diagnosis. My surgeon referred me to a medical oncologist who is head of the sarcoma program at a major Chicago hospital, who explained that the latest diagnosis changes my STUMP diagnosis to a leiomyosarcoma. Because the lesions are estrogen dependent, I have been prescribed Anastrozole (generic for Arimidex), which is a drug taken by many breast cancer patients. The drug blocks the formation of estrogen in your body. The lesions need estrogen and without it, they can't grow. After two months on the medication, a CT scan indicated one nodule was gone and the three others had shrunk in size. My next scan is in a couple of weeks and I'm hoping for more good results.

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Hi Carolyn @cvandyke, welcome to Connect. I'd like to introduce you to @diane060 who also has metastatic endometrial (uterine) carcinosarcoma. While it would appear that your diagnoses differ, I thought you'd like to meet each other.

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Profile picture for Kathy @kathythornjohnson

Hi. I was diagnosed with myxoid liposarcoma with round cell when I was 47. I was misdiagnosed locally for two years prior to get a diagnosis from Mayo. I have had one large primary tumor in my thigh. I've had three distant recurrences. I will be celebrating my 6th year survival anniversary in August. I've found much support on the sarcoma support groups on Facebook.

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@kathythornjohnson I'm so pleased that you have such a good support network, that does mean everything. As we all learn from each other on Mayo Connect, what sort of encouragement or advice would you offer others with this type of diagnosis? Teresa

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Profile picture for Kathy @kathythornjohnson

Hi. I was diagnosed with myxoid liposarcoma with round cell when I was 47. I was misdiagnosed locally for two years prior to get a diagnosis from Mayo. I have had one large primary tumor in my thigh. I've had three distant recurrences. I will be celebrating my 6th year survival anniversary in August. I've found much support on the sarcoma support groups on Facebook.

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I have regular follow ups and scans every 3-4 months. I went on an anti anxiety drug this year. That helped. I'm stuck with Mayo as they have been awesome. I'm feeling hopeful. My doctors have me convinced that I need to look at my disease as a chronic condition. I stay on top of it. I have a wonderful support group of family, friends, and coworkers. I don't know how people without support survive this.

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Profile picture for skyrage @skyrage

I was diagnosed two years ago with Dermafibroprotuberans Sarcoma (dfsp) and honestly, I can't even spell it correctly! It's so rare that I can't even find a doctor who knows much about it. The best thing about it is being called a "unicorn."

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Not sure if you are talking to me or not. But I had radiation for 5 weeks. They should be able to know how many weeks tp give you and the dosage. Good luck. Think positive and email friends. They can be a big help to keep your spirits up. I even wrote letters to my best friends and family telling them how much I appreciated them, etc. It was very therapeutic

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Profile picture for skyrage @skyrage

I was diagnosed two years ago with Dermafibroprotuberans Sarcoma (dfsp) and honestly, I can't even spell it correctly! It's so rare that I can't even find a doctor who knows much about it. The best thing about it is being called a "unicorn."

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Have you gone online and done some research? I would definitely let Mayo take care of you. They are the best.

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Profile picture for skyrage @skyrage

I was diagnosed two years ago with Dermafibroprotuberans Sarcoma (dfsp) and honestly, I can't even spell it correctly! It's so rare that I can't even find a doctor who knows much about it. The best thing about it is being called a "unicorn."

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That's what I have, only diagnosed 6ish weeks ago, waiting on a surgery date. Mine is very large, 6" x 4" how did your treatment go? was it just surgery or radiation as well?

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I was diagnosed two years ago with Dermafibroprotuberans Sarcoma (dfsp) and honestly, I can't even spell it correctly! It's so rare that I can't even find a doctor who knows much about it. The best thing about it is being called a "unicorn."

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In October of 2016, after a 3 week vacation hiking the National Parks, I discovered that my right leg was swollen with a rash and redness. I went to my primary doctor who suggested I go and see if I had a blood clot. No blood clots. I proceeded to see a podiatrist thinking I had broken or sprain my foot. ( I have a high tolerance for pain). I had an EKG and a vein mapping done. I had CT scan that showed a tumor in my pelvic area. I even had a small surgery from a DR.James. Cooper that was unnecessary. He had told me that he could open me up and find out what this tumor was. He misled us. He told me a needle biopsy would only be a 50/50 chance of showing what this tumor was. Come to find out - he was wrong. After the minor surgery, the doctor told me he could not see the tumor and the biopsy of one lymph node was negative. I decided to have an MRI and again the tumor showed up in the pelvic area.
I finally broke down and went to a cancer doctor who recommended a needle biopsy. This is when they determined that it was a pleormorphic sarcoma. I knew NOTHING about sarcomas and started researching. After going to another surgeon and a vascular surgeon, I decided that I did not want to create my ow team of doctors and that I needed radiation when I was having the tumor taken out. The only ones to do this type of radiation is Mayo. It so happened that this second surgeon could facilitate to get me to Mayo. We decided to take this route.

I feel very fortunate that I was admitted to Mayo very quickly. It was determined that the sarcoma had started in the soft tissue and was leiomyosarcoma, I had to redo my research. Because my tumor was under 5 cm. I had a good chance of making it. I immediately felt that everything was going to turn out good and I keep my spirits up the whole time. I shared my thoughts with a lot of my friends and family on Facebook, thus the constant positive feedback.

I took 5 weeks of radiation through Mayo Clinic. (25 treatments in two different areas of my hip). I can tell you that the making of the mask for my radiation was the worse part, but otherwise things were great. I went to the gym 3 times a week and rode the bike for about 40 minutes each time. It helped with the fatigue. I only felt tired one day and after the gym, it went away. I have a slight discolor in the area of radiation. Still I kept my spirits high.

I had my surgery on June 6, 2017. I am 67 1/2 years old. I was in surgery 8.5 hours and recovery for 3 hours. The radiation had killed 20% of the tumor. I had 8 doctors in the operating room with me. The surgeon was able to take the small feelers from an artery and pul it from my iliac vein. The tumor scooped out nicely with 'clean' margins. It had grown from 3.5 cm. to 5.2 cm in that small amount of time. I am glad that I did not know that. The vascular surgeon was able to take the tumor away from the main vein and repair the vein. No one knew what they would actually find once they opened me up. They thought I would have to have the main iliac vein cut and grafted from another vein, but I was fortunate that we didn't have to have that done.

I was in the hospital for 5 days. I was on the road to recovery when 5 days later because I was NOT given blood thinners, I was back in the hospital for blood clots. I stayed in the hospital for another 3 days. The hospital stay was not that great. The fact that I ended up with blood clots put me back quite a bit for a fast recovery. I got rid of the pain pills in 10 days (much too long to be on them, but Oxycodene is very addicting. I started taking 500 mg of Tylenol for 4 or 5 days and stopped that. The recovery is slow because of these blood clots, but I am surviving.

On the 18th of this month I will be seeing my surgeon to get his feedback on how I am doing. I will have a CT scan of the pelvic and abdomen to see how the clots are doing. I will have an MRI to keep an eye on the sarcoma coming back. In fact, for the first year, I will have to have an MRI every 3 months. I do not have to take chemotherapy although I was offered it. It could work or it wouldn't. I decided I wanted the quality of life back I had before this surgery and chemo would not offer that, plus it is not guaranteed that it will keep the sarcoma away. I figure I will take my chances and I feel confident that it will not come back. I will be monitored for 5 years. Once the clots are going, i will ask to get off of the blood thinners.

I feel the doctors at Mayo Clinic are the best and if I had not gone to them, I would not have the outcome that I do have. I believe in a lot of personal research to understand what you do have and the research behind it. A person has to think for themselves with the doctors help. It has been a month since my surgery and my leg is still swollen, and I still have the clots, but every day I see an improvement. I feel fortunate to be alive and I am so glad that I went to Mayo for this surgery. My suggestion is to stay positive at all times. It really does help.

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