01-Everything-You-Need-to-Know

Everything You Need to Know About a Sarcoma Diagnosis

Blog

5 MIN READ
01-Everything-You-Need-to-Know

Advancements in treatment methods have significantly improved how providers treat sarcoma and related conditions. A cancer diagnosis and prognosis can feel overwhelming, but there is hope. Providers use various treatment methods such as chemotherapy, immunotherapy, radiation, and surgery to improve outcomes and increase survival rates. It's important to talk to your doctor about your options and start treatment early for the best results.

What Is Sarcoma?

Sarcoma is a type of cancer that begins in supportive or connective tissue, such as:

  • Bones
  • Muscles
  • Blood vessels
  • Fat
  • Cartilage
  • Nerves
  • Tendons

Types of Sarcoma

There are more than 70 known subtypes of sarcoma, and they fall into the following categories:

  • Bone: Bone sarcomas can develop in cartilage and bone. The most common types are osteosarcoma and chondrosarcoma.
  • Soft tissue: Soft tissue sarcomas occur in soft tissues such as fat, blood vessels, nerves, and muscles. Liposarcoma, synovial sarcoma, and leiomyosarcoma are some of the most common types.

What Are the Signs and Symptoms of Sarcoma?

Providers use various signs and symptoms to determine if you might have sarcoma. The most common signs are:

Symptoms are more common in the later stages of sarcoma than in the early stages. They differ based on the tumor's location and how advanced the diagnosis is, but you may notice the following:

  • Unexplained pain, often in the extremities or bones
  • Swelling around bones or joints
  • Abdominal pain
  • Blood in vomit
  • Black stool
  • Unexplained weight loss
  • Fatigue
  • Reduced range of joint motion or challenges moving a limb 

How Do Doctors Test for Sarcoma?

Oncologists use the following tests to diagnose sarcoma and determine treatment options:

  • Imaging tests: Your doctor may use imaging tests such as MRI scans, X-rays, bone scans, and CT scans to visualize a tumor and determine its precise location in the body. They may also order a PET scan to determine if the cancer has spread to other areas in your body.
  • Tissue biopsy: Once an imaging test confirms the presence of a tumor, a tissue biopsy helps confirm whether the tumor is cancerous and the specific type of sarcoma you have.

What Is the Typical Outlook for Sarcoma?

The anticipated outcome of your cancer and whether you respond well to treatment depend on your unique diagnosis. The likelihood of living with sarcoma for five or more years after diagnosis can range between 15% and 81%. The earlier it is detected and treated, the better outcomes you can typically expect.

Localized cancer, or cancer that hasn't spread throughout the body, generally has a higher long-term survival rate than metastatic cancer, or cancer that has spread. However, sarcoma treatment has advanced in recent years and significantly improved outcomes for many individuals. This is primarily due to the increase in more targeted therapies and personalized treatment approaches. 

Oncology and pharmaceutical professionals also continue to study sarcoma, developing deeper understandings and new treatments to improve outcomes.

What Are My Treatment Options?

The right treatment for you depends on various factors such as the type of sarcoma you have, how far it has progressed, where it's located, and how fast it may spread to other parts of the body. 

Pathologists use biopsy results to determine the grade of a tumor and how quickly its cells may grow. A health professional can work closely with you to determine the best options from these cancer treatment methods:

Surgery

Surgery is not always necessary, but it is a primary sarcoma treatment. Providers often recommend surgery for a localized tumor that a surgeon can completely remove from the body.

Chemotherapy

Chemotherapy is a type of drug treatment that uses chemicals to destroy cancer cells and reduce their growth. If your provider decides chemotherapy is the best option, they will arrange for you to take oral medications or have intravenous (IV) injections. In some cases, you may have a combination of both.

Immunotherapy

Immunotherapy is another type of cancer drug treatment. It's a more targeted option that helps minimize damage to the surrounding healthy cells. Immunotherapy drugs help stimulate your body's immune system to fight cancer cells.

Your provider may combine chemotherapy and immunotherapy in your treatment plan or recommend immunotherapy in place of chemotherapy, depending on your diagnosis. Immunotherapy can increase the effectiveness of your cancer therapy while reducing the side effects of radiation and chemotherapy drugs.

Radiation

Radiation therapy uses high-powered energy beams to shrink tumors and destroy cancer cells. If your provider recommends radiation treatment, they may use gamma rays, X-rays, or charged particles on a tumor. Oncologists often recommend radiation therapy to reduce a tumor's size before surgery or lower the risk of its return after surgery.

Possible Clinical Trials

As researchers continue studying sarcoma, clinical trials may become available. The latest sarcoma studies focus on epigenetic treatments, which aim to reprogram cells and reverse patterns that cause cancer cell growth. While this type of treatment is not currently available, it may become an option in the future.

What Should I Expect During Sarcoma Treatment?

Your body's reaction to treatment can vary. Different side effects are possible with each treatment:

  • Chemotherapy side effects: Chemotherapy can cause side effects such as fatigue, nausea, vomiting, mouth and throat sores, hair loss, and loss of appetite. Ice and certain medications can help alleviate these side effects, so it's important to let your provider know if you experience any severe discomfort.
  • Immunotherapy side effects: Immunotherapy is typically milder than chemotherapy because of how it targets cancer cells. However, it can potentially cause side effects such as skin reactions, gastrointestinal challenges, blood pressure changes, fatigue, flu-like symptoms, and headaches.
  • Radiation side effects: Radiation can cause effects such as skin changes, nausea or vomiting, fatigue, bone weakness, and swelling in affected areas. Side effects depend on the type of radiation you receive and the targeted area. 
  • Surgery recovery: Each sarcoma surgery and recovery period is different. If you undergo a procedure, your recovery may involve a hospital stay, physical therapy, wound care, and follow-up visits.
  • Sarcoma pain: Sarcoma tumors can cause pain if they add pressure to surrounding tissue.

What Should I Eat While Undergoing Treatment?

Nutrition can play a significant role in your health during cancer treatment, depending on where your cancer is and how you react to treatment. A tumor's location and certain treatment side effects may present challenges to your normal eating routine, but it's important to consume as many vitamins and nutrients as you can.

Small, frequent meals are often the best way to manage nutrition during treatment. Try to eat two to three foods every three to five hours to maintain energy. Stay hydrated, and try to eat plenty of carbohydrates and protein. You should talk to your health care provider for specific dietary guidance, but increasing the following protein-rich foods is often beneficial when undergoing cancer treatments:

  • Poultry
  • Fish 
  • Eggs
  • Dairy
  • Lentils
  • Beans
  • Tofu

Talk to Your Provider About Starting Your Sarcoma Treatment Journey at The Oncology Institute

A sarcoma diagnosis is easier to navigate with the right support. At The Oncology Institute, we believe in empowering and healing patients with state-of-the-art medical care and innovation. Our compassionate providers tailor treatment plans based on what will benefit you the most. 

We provide unique services such as outpatient transfusions and a large clinical trials program, staying up to date on the most current treatment options. Learn more about our world-class cancer care, and talk to your primary care provider about receiving treatment at The Oncology Institute.

Previous ArticleBreast Cancer Awareness