Post Date November, 16 2024
Uterine sarcoma is a serious disease related to the female uterus, and patients may also experience symptoms after illness. We must make a judgment based on our own situation, especially by immediately conducting a reasonable examination and diagnosis.
Symptoms of uterine sarcoma
1. Irregular vaginal bleeding: This condition is relatively common, and the amount of bleeding is significant.
2. Abdominal pain: Acute abdominal pain caused by rapid growth of sarcomas, rapid enlargement of the uterus, or internal bleeding, necrosis, or rupture of the uterine muscle wall
3. Abdominal mass: A mass appears in the abdomen and rapidly increases in size.
4. Compression symptoms and others: Patients have symptoms of bladder or rectal compression, such as frequent urination, urgency, urinary stagnation, and difficulty defecating. Late stage patients have overall weight loss, accompanied by anemia, and corresponding symptoms such as low fever or lung or brain metastasis. Cervical sarcoma or tumor prolapses from the uterine cavity into the vagina, often with a large amount of foul smelling secretions.
5. Increased vaginal discharge: It can be serous, bloody, or white, and when combined with infection, it can be purulent or foul smelling.
Uterine sarcoma examination
1. Ultrasound examination: Internal structure, edge condition, low impedance blood flow signal, etc. of uterine tumors.
2. Preoperative diagnosis: The diagnostic rate of uterine leiomyoma is low, while the diagnostic value of endometrial stromal fibroids and mixed malignant mesodermal tumors of the uterus is high.
3. Intraoperative section specimen: Preoperative diagnosis of uterine leiomyoma is rare. The boundary between the fibroid and myometrium is unclear, the vortex structure disappears, and it appears fishlike. If the tissue is fragile, it should be sent for rapid freezing section, and postoperative paraffin pathological diagnosis should be made.
Identification and diagnosis of uterine fibroids
1. Uterine fibroids should be identified with uterine fibroids: Patients with uterine fibroids have no obvious symptoms and are only occasionally discovered during gynecological examinations or surgeries. The main symptoms of uterine fibroids can include menstrual changes (increased menstrual volume, shortened cycle or prolonged period, and irregular bleeding), pain (generally none, but acute abdominal pain can be caused when the uterine fibroids have red degeneration or torsion of pedicled fibroids, and submucosal fibroids stimulate the uterus to produce spastic contraction), compression symptoms (fibroids oppress the bladder), frequency of urination, dysuria, and urinary retention. Uterine fibroids can cause hydronephrosis when they compress the ureter. Uterine posterior wall fibroids can compress the rectum, causing difficulty in bowel movements, increased vaginal secretions, infertility, anemia (long-term excessive menstrual flow can lead to secondary anemia), and so on.
