Leiomyosarcoma

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I had a total open hysterectomy including tubes and ovaries in July 2021. It was in a fibroid and due to lymphovascular space invasion it was graded 1b. In November 2022 two mets set up home in my pelvis, one on my psaos muscle and the larger one on my iliac vein. I was deemed inoperable but I insisted on chemo. I started on doxorubicin but the mets doubled in size. I then had gem/tax which had huge repercussions on my body so I was taken off that. I then had Dacarbazine which after the first round caused some shrinkage but growth on the second round. I then started trabectadin which for two rounds caused shrinkage and stability. My neutrophils and bone marrow were always hit hard and I never had 100% of any chemo and had many chemo sessions cancelled. Because the trabectadin had shown promise I had a chemo break and 2 scans showed minimal growth. I was due for a CT scan in early December but last week started to feel quite bad pain in my ribs and abdomen so I went to see my gp who sent me to our local general hospital with query pancreatitis. I knew something was wrong because the pain was very similar to the pain I had when my initial sarcoma was found. I had a chest X-ray, CT scans of my abdomen and lungs and numerous blood tests. Yesterday I was told that both of my pelvic tumours had grown significantly, there was a tumour on my liver and a large mass where my uterus used to be. I have insisted that I see my consultant at the Christie hospital asap so that we can make a plan. My youngest daughter is expecting her first baby in April and I need to be here for her and my son is getting married in August next year and again I need to be here. I am heartbroken that I won’t see my grandchildren grow up but the biggest heartbreak is the grief that my husband and children will have to endure. I am strong and determined that I will be here for my daughter when she has the baby and I’ll see my son get married. My eldest daughter is a single mum and has two autistic sons and she needs me too. All my friends tell me that they’re in awe of my strength and determination and even the oncology nurse practitioner told me yesterday that she would wholeheartedly support me on future treatments. My husband is in total denial and just says I’ve fought it so far and doesn’t doubt that I’ll do it again. I will fight but 18 months of continuous chemo has had a detrimental effect on my bone marrow and body. I just want to live another 5 years. 

  • Hi  

    Sorry to read about what you have been through and fingers crossed for your future, I have been with Janice and her Leiomyosarcoma now for over 10 years, she did half a doxyrubicin course and later had gemcatabine as a single agent since the doctors thought that would be safer for her lungs.

    One thing Janice really hates is when someone calls her brave, she has just been doing her best and perhaps that is all any of us can do. I got a lot of help from Maggies and we also introduced them to our son who is also autistic.

    <<hugs>>

    Steve

    Community Champion Badge

  • Thanks for your reply Steve. I don’t consider myself brave, I just have to get on with things because I don’t have any choice. 

  • Deborino,

    Your journey has been very similar to mine. Cancerous fibroid, hysterectomy with margins, Doxorubicin, Dacarbazine not working on the second round, chemo destroying your body etc. 

    Other things I have tried include a clinical trial and radiotherapy. I was taking part in a clinical trial at Royal Marsden, which was showing significant results, but unfortunately it got pulled. If you haven’t perhaps ask at Christie if there is anything for you as they ran the trial I did. I was very unwell 6 months ago due to chemo and large cancer masses in my abdomen (biggest was 15cm) and was given radiotherapy treatment in November/December. As well as being a less invasive treatment it stopped my pain and other symptoms almost immediately. It depends where the masses are but the oncologist at Leeds worked out a safe pathway to be able to treat both of my pelvic tumours.

    I hope you are able to be well for the birth of your grandchild and your sons wedding but the thing I have had to learn, as I was used to being very active and was able to do what I wanted when I wanted, is that you have to put yourself and your health first. I’ve had psychological support due to struggling with acknowledging my world was shrinking and I couldn’t plan. Both the nhs and Maggies have specialist psychologists.

    I know it’s very hard but push your medical team to go through ALL treatment options as chemo after chemo after chemo seems to be the default position but all this does is wreck your body.

    Take care.

    Janet