Signs and Symptoms of Uterine Sarcomas

Most uterine sarcomas are found because of symptoms they cause, such as abnormal vaginal bleeding. These symptoms can be caused by something else, such as noncancerous fibroids, hormone imbalance, precancer overgrowth of the endometrium (endometrial hyperplasia), or endometrial carcinoma.

If you have symptoms, see a doctor as soon as possible to find the cause and get treatment if needed.

Abnormal vaginal bleeding or spotting

Most people diagnosed with uterine sarcomas have abnormal vaginal bleeding. This includes:

• Bleeding between periods
• More bleeding during periods
• Bleeding after menopause

This is usually caused by conditions other than cancer, but it's important to have any abnormal bleeding checked right away.

Abdominal problems

Some people might experience swelling or a mass (lump) that can be felt in their belly, or they might have a general feeling of heaviness, fullness, or pain.

Vaginal discharge

Some people with uterine sarcomas have odorous vaginal discharge, with or without blood. Discharge is usually a sign of infection or another noncancerous condition, but it also can be a sign of cancer. Any abnormal discharge should be checked by a healthcare provider.

Urine or bowel problems

A mass in the uterus might push on the bladder, which can cause someone to urinate (pee) more often than usual. In some cases, a mass might block urine from passing out of the body or make it more difficult to have a bowel movement (constipation).

If cancer is advanced and has invaded nearby tissues, it might cause blood in the urine or stool.