What are the symptoms of leiomyosarcoma?
Patient: I have a history of uterine fibroids.  I underwent a myomectomy last 2008 but they did not remove the small fibroids since they were too small at the time.  They have since grown and are not really round in shape.  I am worried about leiomyosarcoma.  What are the symptoms for this type of cancer? Doctor: Hi,Thanks for writing in.Leiomyosarcoma is a malignant form of leiomyoma or fibroid. It is said that 1 percent of lesions appearing to be leiomyoma might be a leiomyosarcoma. It is cancerous and therefore shows aggressive behavior and appearance with irregular margins and infiltration in to the surrounding areas.In most patients a leiomyocarcoma can be told apart from a leiomyoma only by pathological test. Please get a transvaginal ultrasound scan done to know the exact number and nature of the lesions and if they infiltrate in to the surrounding myometrium. If your symptoms like pain and menorrhagia are severe and if you do not wish to have children later then getting a hysterectomy is the definitive solution. Please do not worry.