Uterine Sarcoma Flashcards
What is the chance of having a leiomyosarcoma in a patient on whom you are operating for presumed benign fibroids?
1/350 (SOGC guideline)
Choose all correct answers regarding leimyosarcoma?
a) they are thought to develop from existing fibroids?
b) most are asymptomatic
c) intravenous lyomyomatosis is a typically lethal complication of LMS metastasis
d) Ovarian sparing surgery is acceptable for a suspected LMS
a) false -thought to arise de novo
b) false -rapidly growing mass, pain, pressure, abnormal bleeding,
c) false -benign type of smooth muscle tumour arising at least partially in veins
d) true
A Leioymosarcoma is found on pathology. The presumed “fibroid” was 8cm. There was no evidence of spread to cervix/adnexa or other signs of metastasis. What is the stage?
a) 1A
b) 1B
c) 2A
d) 2B
1B (>5cm) tumour limited to uterus
A Leiomyosarcoma was found which was protruding into bowel. Nodes were negative. What is the stage?
a) 2A
b) 2B
c) 3A
d) 3B
e) 3C
3A involves abdominal tissues (1 site for A, 2 or more for B)
node involvement would make it 3C
