Uterine leiomyosarcoma

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Looking to connect with anyone with the same diagnosis? I had a radical hysterectomy in February this year and the pathology diagnosed uterine leiomyosarcoma. My lovely surgeon had to cut, what he thought was a fybroid to get it out. The first CT scan showed a nodule on the lung, the second three nodules with the first one growing. Last scan I have number 4. Very common in uLMS for mets to start in the lungs. I have found a good support group for LMS on Facebook but it’s primarily US contents. Keen to meet up with uLMS warriors in the UK. I’m private under Robin Jones at the Royal Marsden. Also interested in counselling and understanding, what happens when my company private health care runs out. My initial experience in Watford just to get a simple ultrasound scan, which never happened despite ending up in A&E twice, has left me very scared of the nhs.

  • My symptoms were as follows: over one year after my periods stopped, I started to bleed again constantly with pain in my abdomen, and an extremely swollen belly. Like I was pregnant. A private gynaecologist missed any signs of cancer and put me on HRT saying that the fibroid wasnt the worst she’d seen and would shrink with time. Two years later the agony had me try a NHS coil, which then went walk about inside my uterus. I ended up in A&E at Watford General sent by two GPS on two occasions. They STILL did not scan me but sent me home with painkillers. I decided to go private, paid for by work. I was scanned, hysterectomy, pathology and diagnosis within weeks. Now under Prof. Jones at the Royal Marsden. As you can see I learnt to push and be my own advocate rather than be ignored, given painkillers and dismissed as a menopausal fantasist. Rant over. I live in fear of ending up in Watford General. I never had any lung symptoms and was taking HRT oestrogen up to surgery, opposite of your wife. Fingers crossed for you.

  • Maybe think of it as length, width, height? The uterus is a structure made up of muscles, but also layers. It by its nature can expand to hold a baby and contract to expel it. It can also be bigger due to the presence of fibroids. It itself the womb as a structure has a size and thickness-height, width, length. it has a “thickness” because it is made up of muscle. 

    The endometrium is the lining inside, which is measured and sampled for example in a biopsy. Typically it would be measured in millimetres, not centimetres. The womb as an entity in itself itself is the measurements you will be reading from the report as that’s what it says, regardless of whether this is from an ultrasound or from the womb itself after removal.  It is definitely not a measurement of the endometrium (lining). 

    I’m not sure if this is a clearer explanation? 

    Sarah xx


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  • Thank you anyway. As you say not sure it’s easy to understand 

  • Thanks for sharing, that does sound a horrible chain of events.

    Alan  

  • I understand it can be difficult, and perhaps I’m not able to explain it in an understandable way though I do understand it myself.

    As your wife doesn’t have a cancer diagnosis at the moment, it’s perhaps better to concentrate on the information you do have, rather than try and make assumptions and guesses without a diagnosis. The consultant said 50% would have cancer identified from pathology, which would mean 50% would not, and the percentage diagnosed with uLMS would be a tiny proportion of any uterine cancer diagnosis, as it is extremely rare. But the pathology will identify if there is cancer, and from there which type it is. The only certainty at this point is that the womb lining will not be 8.9cm.

    Sarah xx


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  • Hi hazel hope you’re well just wondering how you got on for treatment of lung mets ? 

  • Hi hazel hope you’re well , I’m just wondering how you treated you’re king mets and if you have managed to get them stable ? 

  • Hi Keeb,

    I have more than 10 lung mets and a met in my abdomen. My aim is to get stability. I have stage 4 uterine leiomyosarcoma (LMS) which is a very rare cancer. To get stability, number one is see a Sarcoma specialist not just a gynea or oncologist. For a while we just watched and waited, following the advice of consultant Prof Jones at Roayl Marsden, with regular CT scans, but as a result of a growth spurt in the tumors, I started chemo in December. Doxorubicin, 6 rounds, every 21 days. This will hopefully shrink some mets and give me some stability. Can I ask are you fighting LMS too?

    Hazel x

  • Thankyou hazel really appreciate you’re reply and hope the best for you’re treatment and long term stability !!! I’m askingn on behalf of my sister she hasn’t started treatment yet she has a hysterectomy first just very scared . Do you still manage to live life do you work ? It’s ok if u don’t wish to answer just trying to get some hope xx 

  • I have reduced work to 3 days a week, but I try to work and have as much normality as possible. I then have all my medical appointments on a Monday and Friday. Please remember my case is rare and Stage4.