Uterine Sarcoma

The most common sarcoma of the uterus is leiomyosarcoma.

Diagnosis

The majority of these tumours are diagnosed post-operatively. They are difficult to differentiate from benign leiomyoma.

Staging

Most staging is done post-operatively due to the above. Lymphadenectomy is rarely indicated unless there is evidence of lymph node involvement clinically.

Treatment

Early Stage Disease

The mainstay of management is surgical resection. A number of women will develop local recurrence.