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Doctor insights on: Pelvic Sarcoma

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Are pelvic tumors, like malignant ovarian tumors, genetic?

Are pelvic tumors, like malignant ovarian tumors, genetic?

To some extent: Almost all tumors have a genetic component in that heredity plays a role in the susceptibility to cancers. In the case of ovarian cancer there are a few well characterized genetic markers that portend higher incidence, e.g., brca 1 and brca 2. ...Read more

Dr. Marvin Ott
2 doctors shared insights

Sarcoma (Definition)

By definition, it is malignant (i.e., being locally invasive and at least theoreticlally capable of metastasizing), and arises from / mimics muscle or connective tissue elements that are not marrow or immune / white cells. The sarcomas are a tremendously varied and troublesome family of tumors, though thankfully less common than carcinomas and the leukemia / ...Read more


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Docs, could a pelvic ultrasound detect ovarian cancer?

Docs, could a pelvic ultrasound detect ovarian cancer?

Possibly.: A pelvic ultrasound could give valuable information regarding anatomic abnormalities in the ovaries (changes in size / shape and cystic versus solid nature of mass lesions). Us is a common test in the initial workup of gynecologic tumors. In order to prove a diagnosis of malignancy, cells or fluid or tissue would need to be sampled from the ovary or pelvis or abdomen and then studied in a lab. ...Read more

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Is invasive cervical cancer visible in a pelvic exam?

Is invasive cervical cancer visible in a pelvic exam?

Possibly: Invasion can be microscopic and impossible to see on exam but in the late stages of cervical cancer there is often a visible mass. ...Read more

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Post menopause bleeding. D&c clear, tvu show hyperplasia(6mm). Pap smear clear. Sometimes pelvic pain & bloating. 1.3cm ovarian cyst.Ovarian cancer?

Post menopause bleeding. D&c clear, tvu show hyperplasia(6mm). Pap smear clear. Sometimes pelvic pain & bloating. 1.3cm ovarian cyst.Ovarian cancer?

Need work up: You had ultrasound and d&c; the uterus should be clear. Bloating and pain is probably unrelated to your gynecology issues.The ovarian cyst however, is worth a follow up by ultrasound and blood test. ...Read more

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Would a palpable soft tissue mass in pelvic area be seen on pelvic or transvaginal ultrasound?

Would a palpable soft tissue mass in pelvic area be seen on pelvic or transvaginal ultrasound?

Maybe: It depends upon where the soft tissue mass is. Transvaginal or pelvic ultrasound is great for evaluating the uterus, ovaries, bladder, and even the appendix (when it's inflamed). But it's not a great modality to evaluate intestinal, muscle, or fat masses. ...Read more

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Abnormal pap smear-enlarged uterus(11cm)left complex ovarian cyst(new since 7/31/15)and thickening endometrium(10mm)Possibly cancer?Lower abd pain24/7

Abnormal pap smear-enlarged uterus(11cm)left complex ovarian cyst(new since 7/31/15)and thickening endometrium(10mm)Possibly cancer?Lower abd pain24/7

A cornucopia: You have 5 major reasons for seeing a GYN MD now. This is the "horn of plenty" of symptoms that need immediate evaluation. Surgery may be in your immediate future after biopsy and evaluation. ...Read more

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Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Muliple issues: I would suggest that you seek a comprehensive medical evalaution: some GI symptoms may be related; however breast cance, ovarian cysts, kidney diease are all separate issues. Get yourself in the hands of an expert or experts-ASAP. ...Read more

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Found lump by pelvic bone, is this cancer?

Found lump by pelvic bone, is this cancer?

Needs evaluation: Finding a lump is always anxiety producing. I would recommend you see your doc to further evaluate where the lump is and whether it is related to soft tissue overlying the bone or the bone itself. Work-up may include imaging of the area and appropriate referral for biopsy if indicated. ...Read more

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Can MRI of pelvis detect uterine fibroids?

Can MRI of pelvis detect uterine fibroids?

Yes: Mri is very good for detection of uterine fibroids. It can determine the size & locations of the fibroids. It can show if the fibroid is degenerated or active, particularly if used with contrast. Mri can be used to guide fibroids treatment, particularly with regards to uterine fibroid embolization which is less invasive than surgery. ...Read more

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MRI shows 4.8cm ovarianRight complex cyst,coccyx bone erosion,free fluid in pelvic area & simple ovarianLeft cysts. Should I request ca125 testing?

MRI shows 4.8cm ovarianRight complex cyst,coccyx bone erosion,free fluid in pelvic area & simple ovarianLeft cysts. Should I request ca125 testing?

Maybe: I think it would be best to get the opinion of a gyn oncologist about this. While age 23 would be very unusual to have cancer, these gyn specialists would still be a good source of information. Hope this helps! ...Read more

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Can pelvic ultrasound detect tubo ovarian abscess?

Can pelvic ultrasound detect tubo ovarian abscess?

Yes: In fact, pelvic ultrasound in the form of a transvaginal ultrasound (ultrasound probe placed in the vagina) is usually the study of choice to detect tubo-ovarian abscess. This study has a sensitivity (likelihood of detection) of very roughly 85%...But like any ultrasound study can vary based on the experience of the sonographer. ...Read more

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Would cervical cancer invading the pelvic sidewall or obstructing the kidney be seen on trans vaginal or pelvic ultrasound?

Would cervical cancer invading the pelvic sidewall or obstructing the kidney be seen on trans vaginal or pelvic ultrasound?

Yes, but...: Any disease or life event will always display on its own pattern of full spectrum; so will cervical cancer. At its early stage, the affected feels nothing. As the disease advances, it may locally advance to damage and distort local.nearby tissue, and to spread to far sites. So, if not treated timely, what you concern about will appear on its course of progress. US may suspect such but CT defines.. ...Read more

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Does a pelvic exam see bladder cancer?

Does a pelvic exam see bladder cancer?

Probably not: A pelvic ultrasound might see a mass growing in the bladder, but you would need either urine cytology or cytoscopy and biopsy for a diagnosis of cancer. I doubt a ob/gyn with a pelvic exam could feel a bladder cancer, unless it was extemely large. ...Read more

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Colonoscopy shows 10cm ulcerative tumor in sigmoid colon but disease also in liver section 4&5, pelvic area, peritoneal and splenic bed what options?

Colonoscopy shows 10cm ulcerative tumor in sigmoid colon but disease also in liver section 4&5, pelvic area, peritoneal and splenic bed what options?

Go see an Oncologist: It looks like you have advanced case of colon cancer. There is fairly good treatment for this type of cancer. But you need to find a medical oncologist and consult him/her for further treatment right away. ...Read more

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Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?

Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?

Severe disease: You are describing severe endometriosis that is difficult to treat and that they were unable to completely remove. Some sort of medical treatment is probably your next step. It will be best if you can find a specialist with experience with these difficult cases since the usual gynecologist encounters these rarely. ...Read more

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Can you die from sarcoma?

Can you die from sarcoma?

Yes: Left untreated, sarcomas eventually result in death. The length of time before death occurs depends upon the type of sarcoma, how rapidly it is progressing, the location of the sarcoma, the overall health of the patient, etc. ...Read more

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What is asteroid sarcoma?

What is asteroid sarcoma?

Immediately: Seek out a 2nd opinion. I have not heard of that diagnosis. Sometimes inexperienced pathologists may make that diagnosis. If you have been given a diagnosis of sarcoma, it is imperative that you seek out a 2nd opinion from an expert pathologist in sarcoma. I have been trained in sarcoma from MD Anderson Cancer Center and offer free consults david.stockman@orthopath.com ...Read more

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What is asteroid sarcoma?

Osteosarcoma?: While "asteroid sarcoma" is not described in the medical or astronomy literature, it sounds a lot like osteosarcoma, so I presume that was the question. Osteosarcoma is a rare cancer of bones that usually occurs in teenagers. Treatment is with chemotherapy and surgery. In many cases, it can be cured, especially if it is caught before it spreads. Amputation is required only rarely. ...Read more

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What to do if I have kaposis sarcoma?

Very good treatments: If you have KS, although there are specific medications for it, typically treating the underlying disease (AIDS) with take care of the KS. If you have been confirmed to have KS, you need to be under the treatment of an Infectious Diseases doctor or whoever handles HIV/AIDS in your area. ...Read more

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What are the tests for ewing's sarcoma?

Biopsy : The biopsy establishes the diagnosis. An MRI shows the local extent of the tumor. A ct of the chest show if it spread to the lungs. A bone scan will look if tumor spread to bone. Sometimes a pet ct is done instead. A bone marrow biopsy is done to see if tumor spread to the bone marrow. ...Read more

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What are the symptoms of ewing's sarcoma?

Ewing's symptoms...: Symptoms can include: pain and/or swelling, usually in the arms, legs, chest, back, or pelvis (area between the hips). A lump in the arms, legs, chest, or pelvis. Fever for no known reason. A bone that breaks for no known reason. ...Read more

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How to determine if I have kaposis sarcoma?

Examination: Usually one can tell just by examining the patient. If there is a question, a biopsy can be performed. Hope this helps. ...Read more

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How come I have sarcoma, but nobody else in the family has it?

Rare: Sarcoma like many cancers do not have familial predilections. They are sporadic and rare which is good. ...Read more

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Is there a cure for sarcoma?

Depends: Depends upon location of sarcoma.Surgery, radiation, chemotherapy will be helpful to cure/control sarcoma. ...Read more

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What is the etiology of ewing sarcoma?

No body know: For sure what the etiology a lot research are going on. ...Read more

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Is it unusual to die from ewing sarcoma?

Is it unusual to die from ewing sarcoma?

It depends: Each case is different, but overall survival is about 70%. Some cases have a more favorable prognosis, some less. But nobody can tell the future for any specific patient. Just do all you can to maximizes the chances of survival and pray for the best. Good luck. ...Read more

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Have ewing sarcoma . Is the pain constant?

It could be: In the early stages no but later on yes. ...Read more

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What are the symptoms of kaposi's sarcoma?

Rash: Kaposi's sarcoma usually presents with a rash. It can occur anywhere. Occasionally, they are seen in the mouth, and rarely they may start in the lungs or the intestinal tract. ...Read more

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Is sarcoma genetic?

Is sarcoma genetic?

ACTUALLY IT CAN BE: There are some genetic abnormalities that predispose people to have sarcoma- for instance: li- fraumeni syndrome- where there is 7% risk for sarcoma; gardner syndrome/fap- related to high frequency of intraabdominal desmoid tumor, retinoblastoma is associated with osteosarcoma, rothmund-thomson syndrome (poikiloderma congenitale) is associated with osteosarcoma- etc. ...Read more

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Is ewings sarcoma fatal?

Often is: Untreated, or treated only by a charlatan, it is 100% fatal. Generally it requires chemotherapy. The odds in early disease are quite good, and even with metastatic disease cures sometimes happen. ...Read more

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How is a sarcoma prevented?

It's not: Unfortunately, there are no known preventive measures for sarcoma. ...Read more

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How to treat ewings sarcoma?

How to treat ewings sarcoma?

Combination therapy: Chemotherapy is given to all patients and surgery and/or radiation therapy is used for local control. ...Read more

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How serious is synovial sarcoma?

It's a cancer.: Synovial sarcoma is a rare cancer that arises near joints. Despite the name synovial, referring to the lining of joints, it almost never arises within a joint. Surgical removal is the mainstay of treatment. Radiation is often added to lower risk of it growing back. It is controversial if chemotherapy helps. While the majority of people are cured, it can be a deadly disease. ...Read more

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