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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Removal Of Ovaries And Fallopian Tubes Advisable For Leiomyosarcoma?

i have leiomyosarcoma stage 1 b i had surgery they thought it was fibroids had a hysterectomy and appendix removed and left my ovaries and tubes i did chemo im ned right now but worried should they take my ovaries and tubes out ? Also how can it be local mine was in my uterus and attached to my appendix so h ow is that local ?It weighted 8 pounds and 3 ounces thats huge ! They even gave me a pic !
Mon, 4 Apr 2016
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
A leiomyosarcoma stage 1b can be managed by surgical removal of uterus.
A follow up has to be kept to look for any evidence of metastasis or distant spread.
Removal of ovaries and fallopian tubes is not required.
Removal of appendix along with surgical removal of the uterus may be due to appendicitis or some other disorder of appendix.
Spread to leiomyosarcoma to appendix is unlikely since the tumor is stage 1 b only.
Spread to distant site and distant organs makes a stage of 4 and not 1.

Thanks and take care
Dr Shailja Puri

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Is Removal Of Ovaries And Fallopian Tubes Advisable For Leiomyosarcoma?

Hello and welcome to HCM, A leiomyosarcoma stage 1b can be managed by surgical removal of uterus. A follow up has to be kept to look for any evidence of metastasis or distant spread. Removal of ovaries and fallopian tubes is not required. Removal of appendix along with surgical removal of the uterus may be due to appendicitis or some other disorder of appendix. Spread to leiomyosarcoma to appendix is unlikely since the tumor is stage 1 b only. Spread to distant site and distant organs makes a stage of 4 and not 1. Thanks and take care Dr Shailja Puri