Leiomyosarcoma: What can I expect now?

Posted by kkhersh @kkhersh, Oct 10, 2022

Diagnosed with Leiomyosarcoma back in August 2021. had surgery to remove mass in upper right groin that same month. July 29th second round of CT scans showed nodules on Right upper lung - had surgery to remove those on Sept 15.
What can I expect now ? - meeting with Medical oncologist next week .

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

I wonder if the leiomyosarcoma 's found near the extremities vary from those found in the uterus/abdominal cavity. 🙏

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@dovelandgriff

Where was the site of your son's original tumor? How is he doing with the chemo? He, and you, are in my thoughts and prayers.

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His original tumor was behind his right axilla.

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Where was the site of your son's original tumor? How is he doing with the chemo? He, and you, are in my thoughts and prayers.

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@dovelandgriff

I was diagnosed with uterine leiomyosarcoma this past fall. I had a total radical hysterectomy. Appendectomy, partial myomectomy, at Dearborn Corewell/Beaumont here in Michigan. The Surgeon was able to get"95". He knew he left cells behind he couldn't access. I switched treatment centers to Karmanos Flint location to be closer to home. I have felt comfortable and respected their ability to work together and obvious competence. The Surgeon in the place upset me, though...when he said a week and a half ago that going in surgically for the rest would not be a viable alternative, in his opinion. My morbid obesity complicates being able to visualize when he would get in there, he worries about my ability to tolerate another major surgery, etc. I was crushed because I have stuck in my mind the only way to be cured of this rare, aggressive cancer, is to get it all out of there. I start radiation this week. Today they just take pictures, to ascertain the positioning fits the treatment plan the radiologist developed. I had the tattoo markers put on a couple of weeks ago. After thirty radiation treatments, the general plan is to go on to chemo. I feel lost on a fog of uncertainty. But determined to do the best I can to get well. My mobility is poor, past spinal issues, fibromyalgia, osteoarthritis. I am frustrated I can't exercise more and get stronger. I will be 65 February 25th. I do have a supportive fiancé, a lot of emotional support pets, household cleaning help, and many supportive folks following my journey on FB I have goals and desires for after treatment, like to help animals and people, I used to teach and was a therapist...much to yet do and enjoy.

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My son had surgery followed by radiation but a year later his monophasic synovial leiomyosarcoma appeared in his right axilla and left lung. Chemotherapy was started last week.

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@lanewright

I need to know what to expect to experience when leiomyosarcoma has already moved into lungs. I realize survival is not likely but what will I experience? A painful drawn out event? A quick end? Loss of body control? Etc. I am finding nothing online that answer those questions

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Hello @lanewright - I'm a bit the same . I had a 5cm leiomyosarcoma on a kidney removed in May 23. and it has spread to my lungs but appears stable for the time being. By all accounts, its just a matter of time. But I notice the replies don't realy address your questions - or have I missed something?

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@dovelandgriff

I was diagnosed with uterine leiomyosarcoma this past fall. I had a total radical hysterectomy. Appendectomy, partial myomectomy, at Dearborn Corewell/Beaumont here in Michigan. The Surgeon was able to get"95". He knew he left cells behind he couldn't access. I switched treatment centers to Karmanos Flint location to be closer to home. I have felt comfortable and respected their ability to work together and obvious competence. The Surgeon in the place upset me, though...when he said a week and a half ago that going in surgically for the rest would not be a viable alternative, in his opinion. My morbid obesity complicates being able to visualize when he would get in there, he worries about my ability to tolerate another major surgery, etc. I was crushed because I have stuck in my mind the only way to be cured of this rare, aggressive cancer, is to get it all out of there. I start radiation this week. Today they just take pictures, to ascertain the positioning fits the treatment plan the radiologist developed. I had the tattoo markers put on a couple of weeks ago. After thirty radiation treatments, the general plan is to go on to chemo. I feel lost on a fog of uncertainty. But determined to do the best I can to get well. My mobility is poor, past spinal issues, fibromyalgia, osteoarthritis. I am frustrated I can't exercise more and get stronger. I will be 65 February 25th. I do have a supportive fiancé, a lot of emotional support pets, household cleaning help, and many supportive folks following my journey on FB I have goals and desires for after treatment, like to help animals and people, I used to teach and was a therapist...much to yet do and enjoy.

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Love your positive outlook. Love at the end of your post how you want to help animals and people. Keep focusing on that positive. You got this and you have a wonderful fiancee supporting you. I would love to add you on Facebook. My name there is
Susan Harrington Ray
I will be praying God's complete healing over you.

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@hopeful33250

Hello @kkhersh, and welcome to Mayo Connect. I was especially interested in your post as I have also had a rare form of cancer, neuroendocrine tumors/carcinoid cancer. Cancer is a difficult journey to travel and when it is rare it can lead to confusion and a lot of unanswered questions.

I looked on the Mayo Clinic website and found some information that might be helpful to you:
--Leiomyosarcoma
https://www.mayoclinic.org/diseases-conditions/leiomyosarcoma/cdc-20387733
@kkhersh,
What do you currently know about this disorder? Do you have a list of questions when you meet with the medical oncologist next week?

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I was diagnosed with uterine leiomyosarcoma this past fall. I had a total radical hysterectomy. Appendectomy, partial myomectomy, at Dearborn Corewell/Beaumont here in Michigan. The Surgeon was able to get"95". He knew he left cells behind he couldn't access. I switched treatment centers to Karmanos Flint location to be closer to home. I have felt comfortable and respected their ability to work together and obvious competence. The Surgeon in the place upset me, though...when he said a week and a half ago that going in surgically for the rest would not be a viable alternative, in his opinion. My morbid obesity complicates being able to visualize when he would get in there, he worries about my ability to tolerate another major surgery, etc. I was crushed because I have stuck in my mind the only way to be cured of this rare, aggressive cancer, is to get it all out of there. I start radiation this week. Today they just take pictures, to ascertain the positioning fits the treatment plan the radiologist developed. I had the tattoo markers put on a couple of weeks ago. After thirty radiation treatments, the general plan is to go on to chemo. I feel lost on a fog of uncertainty. But determined to do the best I can to get well. My mobility is poor, past spinal issues, fibromyalgia, osteoarthritis. I am frustrated I can't exercise more and get stronger. I will be 65 February 25th. I do have a supportive fiancé, a lot of emotional support pets, household cleaning help, and many supportive folks following my journey on FB I have goals and desires for after treatment, like to help animals and people, I used to teach and was a therapist...much to yet do and enjoy.

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@nanee1

My cancer has spread, it started with a mass on my liver and has shown up in other places. Chemo has been rough but it seems the only choice for now.
I am hanging in and hoping for a good turnout. Maybe a miracle!
You are so young, so happy it was discovered in a timely manner.
Keep me informed. Hugs.

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Thanks for sharing. Praying you are a miracle and the chemo works wonders.

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@ksocha91

Thank you for the encouragement! My
CT was clear post resection so we’ll do followup scans every 3 mo. For now the recommendation is to not do chemo nor radiation.

If I may ask, why was chemo recommended in your case? I pray the scan goes well!

Chemo Carl sounds fun!!

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My cancer has spread, it started with a mass on my liver and has shown up in other places. Chemo has been rough but it seems the only choice for now.
I am hanging in and hoping for a good turnout. Maybe a miracle!
You are so young, so happy it was discovered in a timely manner.
Keep me informed. Hugs.

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@nanee1

I hope your meeting with the Oncologist was encourging. It is important to have a positive attitude and believe that you will have a positive outcome. Prayer helps.
I just had my third chemo & will have CT Scans before the next chemo is due.
I also created a little English Bulldog called Chemo Carl. He is wearing pink boxing gloves has a mean look & he is knocking down the cancer cells. Maybe a little silly, but we need all the help we can get!

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Thank you for the encouragement! My
CT was clear post resection so we’ll do followup scans every 3 mo. For now the recommendation is to not do chemo nor radiation.

If I may ask, why was chemo recommended in your case? I pray the scan goes well!

Chemo Carl sounds fun!!

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