What symptom does vaginal leiomyosarcoma have?

summary

Leiomyosarcoma of the vagina is rare. Most of the lesions are located in the submucosal stroma of the vaginal wall or vaginal mucosa in the middle and upper part of the vagina, presenting as solid nodules. Most of them were local infiltration and occasionally distant metastasis. The main manifestations were vaginal pain, vaginal obstruction, depression and discomfort. Some can be accompanied by irregular vaginal bleeding or sexual bleeding, leucorrhea increased, purulent or bloody secretions, can have stench. Now let's talk about the symptoms of vaginal leiomyosarcoma?

What symptom does vaginal leiomyosarcoma have?

1. Small submucosal induration in the early stage, generally asymptomatic. It is usually manifested as vaginal pain, vaginal obstruction, depression and discomfort. Some can be accompanied by irregular vaginal bleeding or sexual bleeding, leucorrhea increased, purulent or bloody secretions, can have stench. In the late stage, there may be massive vaginal bleeding, frequent micturition, urgency, interrupted micturition, poor defecation or constipation due to compression and infiltration of bladder, urethra and rectum. About half of the cases have vaginal and rectal pain.

2. The common location of the tumor is the upper part of the posterior wall of the vagina, followed by the lower part of the posterior wall, and other walls can also appear. The mass often showed local growth, with pseudocapsule. Vaginal examination can touch hard solid nodular mass or infiltrative hard mass, the surface can be accompanied by bleeding, ulcer, vaginal wall hard, narrow. In the late stage, lymph and blood metastasis and distant organ metastasis such as lung and liver may occur.

3. Diagnosis was made according to clinical manifestations and histopathological examination. If the tumor invades the vaginal mucosa or has grown into the vagina, the tissue can be taken for pathological examination. If the surface of vaginal mucosa is still smooth, puncture biopsy or biopsy can be performed to confirm the diagnosis. Tavas soli et al. Proposed the diagnostic criteria for vaginal leiomyosarcoma as follows: tumor diameter ≥ 3cm, mitosis ≥ 10 / 10hpf; Such as mitosis like 5-10 / 10hpf, moderate to severe cell atypia.

matters needing attention

Patients generally recommend diet nutrition, mainly light relative nutrition, such as eggs, lean meat and other high-quality protein, avoid eating fried greasy, spicy food and drinking. During chemotherapy, pay attention to drinking more water, eat less greasy, can eat fresh fruits and vegetables, reduce adverse reactions.