Signs and Symptoms of Uterine Sarcomas
In most cases, the possibility of uterine sarcoma is suggested by certain symptoms. These symptoms do not always mean that a woman has a uterine sarcoma. In fact, they are more often caused by something else, such as non-cancerous changes in the uterus, pre-cancerous overgrowth of the endometrium, or endometrial carcinoma. Still, if you are having these problems, you should see a doctor to see find the cause and get any needed treatment.
Abnormal bleeding or spotting
If you have gone through menopause, any vaginal bleeding or spotting is abnormal, and it should be reported to your health care professional right away. About 85% of patients diagnosed with uterine sarcomas have irregular vaginal bleeding (between periods) or bleeding after menopause. This symptom is more often caused by something other than cancer, but it is important to have a medical evaluation of any irregular bleeding right away. Of the uterine sarcomas, leiomyosarcomas are less likely to cause abnormal bleeding than endometrial stromal sarcomas and undifferentiated sarcomas.
About 10% of women with uterine sarcomas have a vaginal discharge that does not have any visible blood. A discharge is most often a sign of infection or another benign condition, but it also can be a sign of cancer. Any abnormal discharge should be investigated by your health care professional.
Pelvic pain and/or a mass
When they are first diagnosed, about 10% of women with uterine sarcomas have pelvic pain and/or a mass (tumor) that can be felt. You or your doctor may be able to feel the mass in your uterus, or you might have a feeling of fullness in your pelvis.
Last Medical Review: May 12, 2014 Last Revised: February 15, 2016