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Soft tissue sarcoma is a type of cancer that starts in different soft tissues of the body. These can be in the muscle, fat, fibrous tissue, or even blood vessels. Tumors from this cancer form lumps or swelling, which are the main signs. They appear mostly in the arms, legs, chest, or abdomen.

This disease is rare, making up only about 1% of adult cancers and 15% of children’s cancers. In the US, about 12,750 new cases are expected this year. Unfortunately, it’s predicted to cause 5,270 deaths in 2019.

Key Takeaways:

  • Soft tissue sarcoma starts in the muscle, fat, fibrous tissue, or blood vessels.
  • Signs often include lumps or swelling in affected areas.
  • It’s a rare cancer type, accounting for 1% of adult cases and 15% of children’s cases.
  • About 12,750 new cases are expected in the US this year.
  • Early detection and the right treatment are essential for dealing with this cancer.

Types of Soft Tissue Sarcoma and their Symptoms

There are many types of soft tissue sarcoma. They affect various tissues and body parts. Knowing the types is key for correct diagnosis and treatment. Let’s look at the common types and their symptoms.

Angiosarcoma

Symptoms: Angiosarcoma targets blood or lymph vessels. Look out for red or purple skin patches, swelling, and unusual bumps.

Gastrointestinal Stromal Tumor (GIST)

Symptoms: GIST impacts a part of the digestive system. Signs include stomach pain, bleeding inside, anemia, and losing weight without trying.

Liposarcoma

Symptoms: Liposarcoma starts in fat cells. Watch for a soft, painless lump under your skin or in your muscles. It might get bigger and hurt over time.

Leiomyosarcoma

Symptoms: This type affects soft muscles in organs. You might feel pain, see swelling, or notice a lump in the area.

Synovial Sarcoma

Symptoms: It begins in stem cells near joints. Expect joint pain, trouble moving it, and a lump near the joint.

Neurofibrosarcoma

Symptoms: Neurofibrosarcoma harms nerve coverings. It can cause pain, numbness, weakness, or lumps on nerves.

Rhabdomyosarcoma

Symptoms: Found in muscle, it can hurt or swell. You might see or feel a bulge, often in the head, neck, or limbs.

Fibrosarcoma

Symptoms: It affects connective tissue cells. Look for pain, a swollen lump, and a hard time moving the area.

Myxofibrosarcoma

Symptoms: Mainly hitting older adults’ connective tissue, lookout for a painless mass, swelling, and trouble moving it.

Mesenchymomas

Symptoms: These are rare and vary a lot. Signs might be pain, a swollen lump, or other unusual growths.

Vascular Sarcoma

Symptoms: It affects blood vessels. Watch for pain, swelling, larger blood vessels, and lumps.

Schwannoma

Symptoms: This type involves nerve tissues. You might feel pain, numbness, muscle weakness, or find a lump.

Kaposi’s Sarcoma

Symptoms: Kaposi’s sarcoma starts in the skin but can spread. Look for strange skin colors, internal bleeding, and breathing issues.

Bone Sarcoma

Symptoms: Osteosarcoma mainly affects bones in limbs or the pelvis. It often causes long-lasting pain and can form a visible lump.

If you notice any of these symptoms, see a doctor right away. Quick diagnosis and treatment can make a big difference for those with soft tissue sarcoma.

Sarcoma Type Associated Symptoms
Angiosarcoma Red or purple patches on the skin, swelling, abnormal bumps or lumps
Gastrointestinal Stromal Tumor (GIST) Abdominal pain, gastrointestinal bleeding, anemia, unintended weight loss
Liposarcoma Soft, painless lump under the skin or deep within the muscles
Leiomyosarcoma Pain, swelling, mass or lump in affected area
Synovial Sarcoma Joint pain, limited range of motion, mass or lump near the affected joint
Neurofibrosarcoma Pain, numbness, weakness, nodules or lumps along the nerves
Rhabdomyosarcoma Pain, swelling, mass or lump in the muscles
Fibrosarcoma Pain, swelling, visible lump, limited mobility
Myxofibrosarcoma Painless lump or mass, swelling, limited mobility
Mesenchymomas Pain, swelling, lump or mass
Vascular Sarcoma Pain, swelling, visible expansion of blood vessels, lump or mass
Schwannoma Pain, numbness, muscle weakness, palpable lump or mass
Kaposi’s Sarcoma Purple or brown skin lesions, internal bleeding, difficulty breathing
Bone Sarcoma Persistent pain, lump or swelling (optional)

Diagnosis and Treatment of Soft Tissue Sarcoma

Doctors use a detailed method to diagnose soft tissue sarcoma. They start by looking at the symptoms and your medical history. Then, they check you physically. They might ask for X-rays, MRIs, CT scans, or PET scans to find the tumor’s type. They also do lab tests and a biopsy (https://www.webmd.com/cancer/what-is-cancer-biopsy), which means testing a piece of the tumor, to be sure.

After confirming the diagnosis, treatment begins. This can involve one or more surgeries to take out the tumor. Parts of the area around it might also be removed. If needed, radiation therapy can be used to kill any leftover cancer cells. Sometimes, chemotherapy is given to fight the cancer all over the body. For more serious cases, doctors might use certain drugs like olaratumab or pazopanib to target the disease more directly.

Deciding on the best treatment is based on different things like the cancer’s stage and grade, tumor size, and how much it has spread. Remember, the chances of getting better from soft tissue sarcoma can vary. The odds of living five more years after finding it are better for cancers that didn’t spread far. Over the years, treatments have gotten better. Now, more people can beat this cancer and live longer if it’s caught early and treated well.

FAQ

Q: What is soft tissue sarcoma?

A: Soft tissue sarcoma is cancer starting in the body’s muscle, fat, or other tissues. It’s not common but can be serious.

Q: Where does soft tissue sarcoma typically form in the body?

A: It can form in different places but shows up a lot in the arms, legs, and chest. It also appears in the abdomen.

Q: What are the signs and symptoms of soft tissue sarcoma?

A: A lump or swelling might be the first sign. But sometimes, you don’t feel or see anything until the tumor gets big.

Q: How common is soft tissue sarcoma?

A: It’s not very common. For adults, it’s about 1% of all cancers. For kids, it’s more, about 15% of cancers. In the U.S. in 2019, people were expected to get around 12,750 new cases. And sadly, 5,270 people were expected to die from it.

Q: What are the types of soft tissue sarcoma and their symptoms?

A: There are many kinds of soft tissue sarcoma. Each one has different symptoms. Symptoms can include lumps, pain, or bleeding. In the digestive system, it might cause black stools. Osteosarcoma mainly affects the bones and can make them hurt, with or without a lump.

Q: How is soft tissue sarcoma diagnosed and treated?

A: Doctors check for it by asking about symptoms and doing tests. This includes imaging and lab tests. A biopsy is needed to know for sure what kind it is. For treatment, options are surgery, radiation, chemo, or targeted therapy. The best treatment depends on the cancer’s stage and what kind it is.

Q: What is the prognosis for soft tissue sarcoma?

A: How well someone does can vary. About 81% with a small sarcoma live 5 years. For sarcomas that spread, only about 16% do. But, many people beat this timeline. And, new treatments are helping more people live longer.