Patient's question:
Recently, I've been feeling a slight heaviness and fullness in my lower abdomen, and sometimes I even experience lower back and waist pain. Especially in the past few days, I've noticed increased leukorrhea and some irregularities in my menstrual cycle. I initially thought it might be some gynecological inflammation and took some anti-inflammatory medication myself. Recently, the abdominal pain has become even more pronounced, and a hospital examination revealed that it is uterine leiomyosarcoma.Doctor's answer:
Early clinical symptoms of uterine sarcoma are often non-specific, with abnormal vaginal bleeding being the most common chief complaint, accounting for 60% to 80%. Premenopausal patients typically present with prolonged menstrual periods, heavy menstrual flow, and irregular uterine bleeding, while postmenopausal patients are more likely to experience postmenopausal vaginal bleeding. Secondary symptoms include a rapidly growing mass in the lower abdomen, vaginal discharge, lower abdominal, lower abdominal pressure symptoms, and systemic discomfort, weight loss, and other manifestations.