Mięsak tkanek miękkich
Objawy

Mięsak tkanek miękkich (MTM) to rzadki nowotwór rozwijający się w mięśniach, tkance tłuszczowej, naczyniach, nerwach i tkance łącznej, często bezobjawowy we wczesnym stadium z powodu elastyczności tkanek. Charakterystyczne cechy podejrzanego guza to rozmiar >5 cm, stały wzrost, twardość, słaba ruchomość i głębokie umiejscowienie. Objawy zależą od lokalizacji: w kończynach dominują guz, obrzęk, ból i ograniczenie ruchomości; w jamie brzusznej – ból, uczucie pełności, wzdęcia, krwawienia z przewodu pokarmowego (czarne stolce, krew w stolcu/wymiocinach), a także utrata masy ciała; w klatce piersiowej – duszność, kaszel, ból; w obrębie głowy i szyi – guz, obrzęk, niedrożność nosa, trudności w przełykaniu. Tempo wzrostu guza jest zmienne i zależy od stopnia złośliwości, od lat do kilku tygodni. Zaawansowane stadium cechuje przerzutowanie, najczęściej do płuc, oraz objawy ogólnoustrojowe jak zmęczenie, utrata apetytu, gorączka i nocne poty.

Objawy mięsaka tkanek miękkich

Mięsak tkanek miękkich (MTM) to rzadki rodzaj nowotworu, który rozwija się w tkankach miękkich organizmu, takich jak mięśnie, tkanka tłuszczowa, naczynia krwionośne, nerwy czy tkanka łączna. Nowotwór ten może pojawić się w różnych częściach ciała, co wpływa na zróżnicowanie objawów klinicznych.12

Wczesne stadium choroby

We wczesnym stadium mięsak tkanek miękkich często nie powoduje żadnych objawów, co znacznie utrudnia wczesne rozpoznanie. Wynika to z elastyczności tkanek miękkich, które mogą być łatwo przesuwane przez rosnący guz, zanim pojawią się jakiekolwiek dolegliwości.12 U niektórych pacjentów choroba może rozwijać się nawet przez kilka lat bez zauważalnych objawów, szczególnie w przypadku guzów o niskim stopniu złośliwości, takich jak dobrze zróżnicowany tłuszczakomięsak.3

W miarę wzrostu guza mogą pojawić się pierwsze objawy, które zależą od lokalizacji zmiany nowotworowej.12

Najczęstsze objawy mięsaka tkanek miękkich

Najczęstszym objawem mięsaka tkanek miękkich jest wyczuwalny guz lub obrzęk, który często jest bezbolesny w początkowym stadium rozwoju.12 Około połowa mięsaków tkanek miękkich rozwija się w kończynie górnej lub dolnej, gdzie zwykle zauważalny jest guz, który rośnie przez tygodnie lub miesiące.1

Charakterystyczne cechy podejrzanego guza mięsaka tkanek miękkich to:12

  • Rozmiar większy niż 5 cm (wielkość piłki golfowej)
  • Stałe powiększanie się
  • Twardość i słaba ruchomość pod skórą
  • Może być bolesny lub bezbolesny
  • Głębokie umiejscowienie w tkankach

12

W miarę wzrostu guza może on uciskać na sąsiadujące struktury, powodując:12

  • Ból (zwłaszcza przy ucisku na nerwy)
  • Ograniczenie zakresu ruchów
  • Uczucie drętwienia lub mrowienia
  • Osłabienie mięśni

12

Objawy zależne od lokalizacji guza

Objawy mięsaka tkanek miękkich różnią się znacząco w zależności od lokalizacji guza w organizmie.1

Mięsak w kończynie

Gdy mięsak rozwija się w kończynie górnej lub dolnej, najczęstszymi objawami są:12

  • Wyczuwalny guz, który powiększa się z czasem
  • Obrzęk kończyny
  • Ból lub wrażliwość na dotyk
  • Ograniczenie ruchomości
  • Osłabienie kończyny
  • Kulenie lub trudności w chodzeniu (w przypadku mięsaka kończyny dolnej)

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Mięsak w jamie brzusznej

Około 40% mięsaków tkanek miękkich rozwija się w jamie brzusznej, gdzie mogą pozostać niewykryte przez dłuższy czas.1 Objawy mięsaka w jamie brzusznej mogą obejmować:12

  • Ból brzucha, który nasila się z czasem
  • Uczucie pełności po spożyciu niewielkiej ilości pokarmu
  • Wzdęcie lub obrzęk brzucha
  • Zaparcia
  • Nudności i wymioty
  • Krwawienie z przewodu pokarmowego
  • Czarne, smoliście stolce (świadczące o krwawieniu z górnego odcinka przewodu pokarmowego)
  • Krew w stolcu lub wymiocinach
  • Niezamierzona utrata masy ciała

123

Mięsak w klatce piersiowej

Gdy mięsak rozwija się w obrębie klatki piersiowej, może powodować:1

  • Trudności w oddychaniu
  • Kaszel, który nie ustępuje
  • Ból w klatce piersiowej
  • Nierówną postawę ciała
  • Ból w mięśniu czworobocznym
  • Trudności w obracaniu głowy

12

Mięsak w rejonie głowy i szyi

Mięsaki w obszarze głowy i szyi mogą powodować różnorodne objawy, takie jak:1

  • Guz lub obrzęk
  • Niedrożność i wydzielina z nosa lub gardła
  • Obrzęk oka
  • Trudności w przełykaniu
  • Ból

1

Postęp choroby

Tempo wzrostu mięsaka tkanek miękkich jest bardzo zróżnicowane i zależy od stopnia złośliwości nowotworu. Guzy o niskim stopniu złośliwości (dobrze zróżnicowane) rosną powoli, często przez lata, podczas gdy guzy o wysokim stopniu złośliwości mogą rozwijać się znacznie szybciej, w ciągu tygodni lub miesięcy.12

Wraz z progresją choroby mogą pojawiać się dodatkowe objawy ogólnoustrojowe:12

  • Zmęczenie
  • Utrata apetytu
  • Niezamierzona utrata masy ciała
  • Gorączka (rzadko)
  • Nocne poty (rzadko)

12

W zaawansowanym stadium choroby mięsak tkanek miękkich może rozprzestrzeniać się do innych części ciała (przerzuty), najczęściej do płuc.1 Przerzuty mogą powodować dodatkowe objawy specyficzne dla zajętych narządów.1

Czynniki ryzyka opóźnienia diagnozy

Badania wykazały, że opóźnienia w diagnostyce mięsaka tkanek miękkich są powszechne. Mediana opóźnienia ze strony pacjenta wynosi około 1 miesiąca, podczas gdy mediana opóźnienia ze strony lekarza wynosi około 3,2 miesiąca od wystąpienia pierwszych objawów do postawienia diagnozy.12

Czynniki przyczyniające się do opóźnienia diagnozy obejmują:12

  • Rzadkość występowania mięsaków
  • Podobieństwo objawów do innych, łagodnych schorzeń (np. tłuszczaki, krwiaki)
  • Początkowo bezbolesny charakter guza
  • Brak świadomości na temat objawów ostrzegawczych
  • Błędne przekonanie, że tylko bolesne guzy są niepokojące

12

Kiedy należy skonsultować się z lekarzem

Należy pilnie skonsultować się z lekarzem w przypadku wystąpienia następujących objawów:12

  • Nowy guz lub szybko rosnący guz w dowolnej części ciała, zwłaszcza jeśli jest większy niż 5 cm
  • Guz, który staje się bolesny
  • Nasilający się ból brzucha
  • Krew w stolcu lub czarny stolec
  • Krew w wymiocinach
  • Niezamierzona utrata masy ciała
  • Obrzęk kończyny

12

Chociaż większość guzów tkanek miękkich nie jest złośliwa, wczesne rozpoznanie mięsaka tkanek miękkich zwiększa szanse na skuteczne leczenie.1 Badania pokazują, że mniejszy rozmiar guza w momencie diagnozy wiąże się z lepszym rokowaniem.1

Znaczenie wczesnej diagnostyki

Wczesne wykrycie mięsaka tkanek miękkich ma kluczowe znaczenie dla rokowania pacjenta. Jeśli nowotwór zostanie wykryty we wczesnym stadium i może być całkowicie usunięty chirurgicznie, istnieje znacznie większa szansa na wyleczenie.1

W przypadku późnego wykrycia, gdy nowotwór zdążył już rozprzestrzenić się do innych części ciała, całkowite wyleczenie jest zazwyczaj niemożliwe. Leczenie może wówczas spowolnić postęp choroby i kontrolować objawy, ale rokowanie jest znacznie gorsze.12

Należy pamiętać, że mimo iż objawy mięsaka tkanek miękkich mogą przypominać inne, łagodne schorzenia, każdy nowy lub powiększający się guz powinien zostać zbadany przez lekarza, szczególnie jeśli wykazuje cechy wskazujące na potencjalnie złośliwy charakter.12

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Soft tissue sarcoma – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/soft-tissue-sarcoma/symptoms-causes/syc-20377725
    Soft tissue sarcomas are cancers that start in the soft tissues of the body. […] A soft tissue sarcoma may not cause any symptoms at first. As the cancer grows, it may cause: A noticeable lump or swelling. Pain, if the growth presses on nerves or muscles.
  • #1 Soft tissue sarcomas | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-adults/soft-tissue-sarcomas/
    As soft tissue sarcomas can develop in most parts of the body, they can cause a wide range of symptoms. […] There are often no obvious symptoms in the early stages of soft tissue sarcomas, although you may notice a soft, painless lump under your skin or deeper, that cant easily be moved around and gets bigger over time. […] You should speak to your GP if you have a worrying lump or any other troublesome symptoms. A lump the size of a golf ball or larger should be regarded as suspicious and needs to be investigated urgently. […] Although it is much more likely you have a benign (non-cancerous) condition, it is important to get your symptoms checked out. […] If the cancer is detected at an early stage and can be removed during surgery, there is a possibility it can be cured. […] But you’ll need regular check-ups following treatment to check for any signs the cancer has come back. You may also need long-term physiotherapy and occupational therapy to help you manage any physical difficulties resulting from surgery. […] A cure is not usually possible if a soft tissue sarcoma is only detected at a late stage when it has already spread to other parts of the body, although treatment can help slow the spread of the cancer and control your symptoms.
  • #1 Soft tissue sarcoma
    https://www.cancervic.org.au/cancer-information/types-of-cancer/soft_tissue_cancers/soft-tissue-cancers-overview.html
    Soft tissue sarcoma usually doesn’t cause symptoms in its early stages. As it grows over a period of months, you may develop a painless lump, which may cause pain as it grows and presses on nerves and muscles. […] Other symptoms will depend on where in the body the sarcoma is. Sometimes a soft tissue sarcoma may be mistaken for a benign fatty lump (lipoma) or bruise (haematoma). This can delay tests that would help make the right diagnosis. […] Most people who develop a painless lump do not have a sarcoma. However, you should see your doctor if you notice the lump is getting bigger, is the size of a golf ball or larger, or is painful or tender.
  • #1 Soft Tissue Sarcoma Types, Staging and Treatment | Dana-Farber Cancer Institute
    https://www.dana-farber.org/cancer-care/types/soft-tissue-sarcoma
    Signs of soft tissue sarcoma include a lump or swelling in soft tissue. Sometimes there are no signs or symptoms until the tumor is big and presses on nearby nerves or other parts of the body.
  • #1 Signs and Symptoms of Soft Tissue Sarcomas | American Cancer Society
    https://www.cancer.org/cancer/types/soft-tissue-sarcoma/detection-diagnosis-staging/signs-symptoms.html
    About half of soft tissue sarcomas start in an arm or leg. Most people notice a lump that’s grown over time (weeks to months). The lump may or may not hurt. […] When sarcomas grow in the back of the abdomen (the retroperitoneum), the symptoms often come from other problems the tumor is causing. For instance, they may cause blockage or bleeding of the stomach or bowels. They can press on nerves, blood vessels, or nearby organs. They can grow large enough for the tumor to be felt in the belly. Sometimes the tumors cause pain. About 4 of 10 sarcomas begin in the abdomen (belly). […] If you have any of the these problems, see a doctor right away: A new lump or a lump that’s growing (anywhere on your body), Abdominal pain that’s getting worse, Blood in your stool or vomit, Black, tarry stools (when bleeding happens in the stomach or bowels, the blood can turn black as it’s digested, and it might make the stool very black and sticky). […] These symptoms are more often caused by things other than sarcoma, but they still need to be checked out by a doctor.
  • #1 How do I know if I have soft tissue sarcoma? Symptoms to be aware of | The Royal Marsden
    https://www.royalmarsden.nhs.uk/private-care/news-and-blogs/how-do-i-know-if-i-have-soft-tissue-sarcoma-symptoms-be-aware
    Commonly, early-stage sarcoma does not present symptoms. This may depend on where your cancer is located. […] The main symptom of sarcoma is a lump. Lumps and bumps can occur on the body for several reasons, so it is essential to seek medical intervention when you notice something unusual. […] You should get your symptoms investigated if you have a lump which: is getting bigger, is more than 5 cm across in size, about the size of a golf ball, is painful or tender, has come back after previous surgery to remove sarcoma. […] The most common symptom in the arm or leg is a lump that is getting bigger. This lump can be painless or, sometimes, painful or tender with swelling. […] If sarcoma occurs in the centre (trunk) of the body, you may experience a range of symptoms depending on the organ it affects. Some examples of differing symptoms depending on the placement include: Sarcoma in the abdomen (tummy) can cause constipation, local swelling, and vomiting, Unexplained back pain and (or) weight loss, Sarcoma in the digestive system, or a gastrointestinal stromal tumour (GIST), can cause symptoms of anaemia, such as breathlessness or tiredness, It can also cause dark-coloured stool (poo), bleeding in the bowel, and blood in your vomit. […] The common symptoms of sarcoma in the skin may include a small patch of firm, slightly raised, purplish, or reddish skin.
  • #1 Symptoms of soft tissue sarcoma – NHS
    https://www.nhs.uk/conditions/soft-tissue-sarcoma/symptoms/
    The most common symptom of soft tissue sarcoma is a lump somewhere on your body. […] The lump is usually solid to the touch, painless and hard to move around under the skin. […] It will continue to grow and as it does, it can become painful. […] You may also get other symptoms depending on where in your body the lump is. […] These can include: tummy pain and constipation if you get a sarcoma near your tummy; a cough that does not go away if you get a sarcoma near your lungs. […] Having a lump or swelling does not definitely mean you have soft tissue sarcoma, but it’s important to get checked by a GP. […] If your symptoms are caused by cancer, finding it early may mean it’s easier to treat.
  • #1 Soft Tissue Sarcoma Symptoms | The University of Kansas Cancer Center
    https://www.kucancercenter.org/cancer/cancer-types/soft-tissue-sarcoma/soft-tissue-sarcoma-symptoms-risks
    Soft tissue cancer often has no symptoms (is asymptomatic) in its earliest stages. The most common symptom of soft tissue sarcoma is swelling or a noticeable lump, which is usually painless. These tumors most often develop first in the extremities (arm or leg), although they can grow anywhere in the body. Pain may develop in the cancers later stages as the tumor grows larger and presses on the nerves or into the muscle. […] Other possible soft tissue sarcoma symptoms include: Decreased range of motion, Numbness, burning or tingling sensation, Enlargement of varicose veins, Fatigue, Weight loss, Nausea or vomiting, Swelling (edema) if tumors press against the lymph nodes, Open sores, if tumors are close enough to the skins surface to cause damage. These symptoms can vary widely from person to person, and having these symptoms doesnt mean you have soft tissue cancer. Only testing and diagnosis can confirm the presence of soft tissue sarcoma.
  • #1 Symptoms of soft tissue sarcoma | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/soft-tissue-sarcoma/signs-and-symptoms
    Soft tissue sarcoma may not cause any signs or symptoms in its early stages. Signs and symptoms often appear as the tumour grows and presses on nerves, muscles or other parts of the body. Other health conditions can cause the same symptoms as soft tissue sarcoma. […] The signs or symptoms of soft tissue sarcoma can vary depending on where the tumour starts in the body. […] When soft tissue sarcoma starts in an arm, a leg, the trunk of the body or the head and neck area, the most common signs and symptoms are: a lump or swelling, tenderness or pain. […] When soft tissue sarcoma starts in the abdomen, it may cause: a feeling of fullness, pain in the abdomen or back. […] When soft tissue sarcoma starts in the gastrointestinal (GI) tract, it may cause: nausea and vomiting, diarrhea, constipation, blood in the stool, pain in the abdomen. […] Other signs and symptoms of soft tissue sarcoma include: abnormal vaginal bleeding, pain in the pelvis, difficulty breathing, lymphedema, abnormal bumps or patches on the skin.
  • #1 Soft Tissue Sarcomas of the Leg: Symptoms, Treatment, Outlook
    https://www.healthline.com/health/cancer/what-to-know-about-soft-tissue-sarcomas-in-the-leg
    Soft tissue sarcomas most commonly develop in the leg. […] The main symptoms of soft tissue sarcomas include: a growing, painless lump, swelling, progressive pain or soreness as it pushes on other tissue. […] Sarcomas in one of your joints might cause: restricted movement, limping, noticeable deforming, trouble walking. […] Soft tissue sarcomas are curable for many people. Your cancer is most likely to be curable if your tumor is caught before it spreads to other tissues and if you have a non-aggressive subtype. […] The outlook for soft tissue sarcomas depends on which subtype you have. Sarcomas that develop in the limbs tend to have better outlooks than sarcomas that develop inside your abdomen.
  • #1 Soft Tissue Sarcoma: Symptoms and Treatment: Trevan Fischer, MD: Surgical Oncologist
    https://www.drtrevanfischer.com/blog/soft-tissue-sarcoma-symptoms-and-treatment
    While soft tissue sarcoma may not get the same amount of attention as other types of cancer, it is still essential to know its symptoms and to take them seriously. […] The early stages of soft tissue sarcoma may have no symptoms or could appear as swelling or a painless lump. As the tumor grows, pain may occur, and the swollen area might feel warm. An unexplained fever can be another sign. […] In approximately 40% of people, the soft tissue sarcoma develops in the abdomen, which is more difficult to diagnose. Symptoms can include abdominal pain, stool that contains blood or is black and tarry, and blood in vomit. These issues can also occur with other health conditions, so it’s important to see a health professional for a proper diagnosis.
  • #1 Soft tissue sarcomas
    https://www.christie.nhs.uk/patients-and-visitors/your-treatment-and-care/types-of-cancer/soft-tissue-sarcomas
    Soft tissue sarcomas can develop in any part of the body. Most of them develop in the arms and legs, but they can also develop in specific organs such as the womb (uterus), stomach, skin and small bowel. Less commonly, they may occur in the head and neck. […] Sarcomas often don’t cause any symptoms for a long time. They can start in any part of the body and the symptoms will depend on the part of the body that’s affected. […] If the sarcoma is in an arm or a leg, the most common symptom is an uncomfortable swelling in the affected limb. Occasionally, this swelling may be painful or tender, but it may also be painless. […] If the sarcoma is in the central part of the body, the symptoms will depend on which of the body’s organs is affected. For example: A sarcoma in a lung may cause a cough and breathlessness. A sarcoma in the abdomen could cause abdominal pain, vomiting and constipation. A GIST may also cause bleeding into the bowel. This may cause you to vomit blood, pass dark bowel motions or develop symptoms of anaemia (a low number of red blood cells), such as shortness of breath or tiredness. A sarcoma affecting the womb may cause bleeding from the vagina and pain in the lower part of the abdomen.
  • #1 Soft-tissue sarcoma – Wikipedia
    https://en.wikipedia.org/wiki/Soft-tissue_sarcoma
    A soft-tissue sarcoma (STS) is a malignant tumor, a type of cancer, that develops in soft tissue. A soft-tissue sarcoma is often a painless mass that grows slowly over months or years. They may be superficial or deep-seated. Any such unexplained mass must be diagnosed by biopsy. […] In their early stages, soft-tissue sarcomas usually do not cause symptoms. Because soft tissue is relatively elastic, tumors can grow rather large, pushing aside normal tissue, before they are felt or cause any problems. The first noticeable symptom is usually a painless lump or swelling. As the tumor grows, it may cause other symptoms, such as pain or soreness, as it presses against nearby nerves and muscles. If in the abdomen it can cause abdominal pains commonly mistaken for menstrual cramps, indigestion, or cause constipation. […] Soft-tissue sarcomas commonly originate in the upper body, in the shoulder or upper chest. Some symptoms are uneven posture, pain in the trapezius muscle, and cervical inflexibility [difficulty in turning the head]. The most common site to which soft-tissue sarcoma spreads is the lungs.
  • #1 Soft tissue sarcomas | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-teenagers-and-young-adults/soft-tissue-sarcomas-teenagers-and-young-adults/
    The symptoms of a sarcoma will depend on where it is: […] if its in an arm or leg, symptoms include a lump or swelling in the limb this is usually painless, but not always […] if its in the tummy (abdomen), symptoms include a painful, swollen tummy, and problems going to the toilet to poo (called constipation) […] if its in your bladder, symptoms include pain in the lower tummy, finding it difficult to pee (pass urine), and having blood in your pee […] if its in the chest, symptoms can include breathlessness, a cough and pain in your chest […] if its in the head or neck, symptoms include a lump, a blockage and discharge from the nose or throat; occasionally an eye may become swollen and stick out a bit. […] You may also have other symptoms, such as tiredness, loss of appetite or weight loss.
  • #1 Sarcoma: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/cancer/sarcoma/symptoms
    Soft tissue sarcomas develop in soft tissues such as fat, muscle, connective tissue, nerve sheaths, and blood vessels. They often form in the legs or arms but can also develop in the head and neck area, trunk, internal organs, and the area in the back of the abdominal cavity. […] There is a wide range of sarcoma symptoms. The most common symptoms of some forms of sarcomas include: A painless lump under the skin, Abdominal pain or an abdominal mass, Bone pain, An unexpected bone break, either from a minor or unknown injury, Difficulty breathing or chest pain.
  • #1 Cancer of the Connective Tissues: Soft-Tissue Sarcoma | HSS
    https://www.hss.edu/condition-list_soft-tissue-sarcoma.asp
    Patients usually notice an enlarging mass or lump in the arm or leg. […] They may also experience a sense of fullness in that limb as compared with the opposite extremity. […] The mass is usually painless, leading many to ignore it until it reaches substantial size. […] If the mass presses on a nearby nerve, it may lead to numbness or tingling in an extremity. […] The growth rate of soft-tissue sarcoma is highly variable, but in general it will grow noticeably over weeks to months. […] Any mass that grows in this time frame needs urgent medical evaluation. […] Even a mass that grows slowly over years should still be evaluated to determine if cancer is present.
  • #1 Soft Tissue Sarcoma: Symptoms, Signs and Causes
    https://www.hcgoncology.com/types-of-cancers/soft-tissue-sarcoma-symptoms-and-causes/
    Soft tissue sarcoma, a rare cancer, may present as painless lumps or swelling. Symptoms are not presented in the early stages. […] Patients may have soft tissue sarcoma signs based on the tumor size and location. Some of the soft tissue sarcoma cancer symptoms include: […] A lump may raise concerns about soft tissue sarcoma, especially in the legs, arms, or trunk. Patients with painless lumps in the initial stage may experience pain later due to pressure on the nerves by the lump. This is also one of the classic symptoms of soft tissue cancer in the leg. […] A fast-growing lump may also be a soft tissue sarcoma sign. […] Abdominal pain may also be a soft tissue sarcoma sign, especially when the tumor grows in the abdominal region. […] Nausea and vomiting are not the common soft tissue sarcoma cancer symptoms. However, if the patients have soft tissue sarcoma in the abdominal region, they may experience nausea and vomiting.
  • #1 Soft Tissue Sarcoma Treatment – NCI
    https://www.cancer.gov/types/soft-tissue-sarcoma/patient/adult-soft-tissue-treatment-pdq
    A sign of soft tissue sarcoma is a lump or swelling in soft tissue of the body. […] A sarcoma may appear as a painless lump under the skin, often on an arm or a leg. Sarcomas that begin in the abdomen may not cause signs or symptoms until they get very big. As the sarcoma grows and presses on nearby organs, nerves, muscles, or blood vessels, signs and symptoms may include: Pain. […] Trouble breathing. […] Soft tissue sarcoma can recur (come back) after it has been treated. The cancer may come back in the same soft tissue or in other parts of the body.
  • #1 Early symptoms of bone and soft tissue sarcomas: could they be diagnosed earlier?
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3957506/
    Delays in diagnosis are common for patients with bone and soft tissue sarcoma (STS) despite guidance produced by the National Institute for Health and Clinical Excellence. […] Symptoms were determined prior to definitive diagnosis and the occurrence of patient and doctor delays in reaching specialist care. […] The median patient delay was 1 month while the median doctor delay was 3.2 months from first symptoms to diagnosis for all sarcomas. […] Patients with a lump increasing in size exhibited longer patient delays while doctor delay was shorter for deep lumps. […] The most common reason for patients with STS to present to a HCP was a painless lump in 47 patients (71%), of whom 25 (55%) reported increasing size as a reason to prompt consultation. […] Forty-nine patients (74%) had at least one guideline feature to prompt referral as a suspected STS at the time of initial presentation to a HCP.
  • #1 Soft tissue sarcoma: Recognizing a rare disease | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/89/2/73
    The recognition of a malignant soft tissue mass can be challenging, given the rarity of soft tissue sarcoma and the extensive overlap between benign and malignant presentations. […] Awareness of the signs and symptoms of soft tissue sarcoma in primary care practice ensures prompt referral to a sarcoma center for appropriate assessment and treatment to optimize outcomes. […] The finding of a soft tissue mass on the trunk or limbs can be the source of anxiety and distress for patients, and a diagnostic challenge for clinicians. […] Early recognition of the signs and symptoms of soft tissue sarcoma (STS) and prompt referral to a center with expertise in STS are essential to ensure effective multidisciplinary team management and optimize outcome. […] STS tends to present as a large, painless, unexplained mass anywhere in the body that has been increasing in size.
  • #1 Soft Tissue Sarcoma: Symptoms, Treatment & Prognosis
    https://my.clevelandclinic.org/health/diseases/21732-soft-tissue-sarcoma
    Many soft tissue sarcoma symptoms are similar to other, less serious conditions. You should contact a healthcare provider if you have: […] A new lump or a fast-growing lump anywhere on your body. […] A lump that starts to hurt. […] Belly pain that’s getting worse. […] Blood in your poop or poop that appears black. […] Nausea and vomiting. […] Losing weight without trying. […] Soft tissue sarcoma can be a serious medical issue. Like many forms of cancer, healthcare providers have more success treating soft tissue sarcomas if they diagnose the tumor before it spreads. Without treatment, soft tissue sarcomas may spread (metastasize) and affect other areas of your body.
  • #1 Do I have sarcoma? | Sarcoma UK
    https://sarcoma.org.uk/about-sarcoma/what-is-sarcoma/do-i-have-sarcoma/
    Signs and symptoms: A lump which is growing, changing, or bigger than a golf ball […] Swelling, tenderness or pain in or around the bone which may come and go and may be worse at night […] Stomach pain, feeling sick, loss of appetite or feeling full after eating only a small amount of food […] Blood in either your poo or vomit. It is important to keep an eye on your symptoms. If you see any changes, such as a lump that is getting bigger, let your GP know. You could take pictures or measurements to show your GP. There is a chance your test could be inconclusive even when sarcoma is present. If your symptoms continue, or you see any changes, you should see your GP to be referred for further tests.
  • #1 Soft tissue sarcoma: Recognizing a rare disease | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/89/2/73
    The belief that only painful masses are worrisome is wrong. […] The UK guidelines suggest that a lump that is larger than 5 cm, exhibits growth, is deep in the body, and is painful should be considered malignant until proven otherwise. […] Increasing size is the best individual indicator of a greater risk of malignancy. […] A mass growing slowly over a period of weeks to months, painful or not, should raise more concern than a painful mass growing rapidly over a period of days. […] No change in the size of a tumor over a longer time period favors a benign diagnosis. […] Studies have found an almost linear relationship between the increasing lesion size and poorer prognosis that is independent of other factors, even for patients without metastatic disease at diagnosis. […] This is particularly true of tumors larger than 5 cm, emphasizing the point that a smaller tumor at diagnosis and treatment is associated with better prognosis.
  • #1 Symptoms | Soft tissue sarcoma | Cancer Research UK
    https://www.cancerresearchuk.org/about-cancer/soft-tissue-sarcoma/symptoms
    The symptoms of a soft tissue sarcoma will vary, depending on the size of the cancer and where it is in the body. […] In their early stages, soft tissue sarcomas do not usually cause symptoms. As sarcomas can grow anywhere in the body, the symptoms will depend on where the cancer is. The main symptoms can include: a lump that’s painless at first, a lump increasing in size, pain or soreness as the lump grows and presses against nerves and muscles. […] You should see your doctor if you have an unexplained lump. Many people get lumps and bumps and most of them will not be cancer. But it’s best to get it checked. […] It’s possible to have other symptoms from sarcoma. But it’s difficult to list all of these because it would depend on where the sarcoma is in your body. See your doctor if you notice anything that isnt normal for you.
  • #2 Soft-tissue sarcoma – Wikipedia
    https://en.wikipedia.org/wiki/Soft-tissue_sarcoma
    A soft-tissue sarcoma (STS) is a malignant tumor, a type of cancer, that develops in soft tissue. A soft-tissue sarcoma is often a painless mass that grows slowly over months or years. They may be superficial or deep-seated. Any such unexplained mass must be diagnosed by biopsy. […] In their early stages, soft-tissue sarcomas usually do not cause symptoms. Because soft tissue is relatively elastic, tumors can grow rather large, pushing aside normal tissue, before they are felt or cause any problems. The first noticeable symptom is usually a painless lump or swelling. As the tumor grows, it may cause other symptoms, such as pain or soreness, as it presses against nearby nerves and muscles. If in the abdomen it can cause abdominal pains commonly mistaken for menstrual cramps, indigestion, or cause constipation. […] Soft-tissue sarcomas commonly originate in the upper body, in the shoulder or upper chest. Some symptoms are uneven posture, pain in the trapezius muscle, and cervical inflexibility [difficulty in turning the head]. The most common site to which soft-tissue sarcoma spreads is the lungs.
  • #2 Soft Tissue Sarcoma | Memorial Sloan Kettering Cancer Center
    https://www.mskcc.org/cancer-care/types/soft-tissue-sarcoma
    Soft tissue sarcoma often does not cause symptoms in the early stages. This is because it occurs in soft (usually elastic) parts of the body that are easily pushed out of the way by a growing tumor. […] The first symptom people with soft tissue sarcoma may notice is a painless lump. Sometimes a tumor might cause pain, soreness, or difficulty breathing if it presses on nerves, muscles, or blood vessels. Many people notice soft tissue sarcoma only after an unrelated injury draws attention to that part of the body.
  • #2 Soft Tissue Sarcoma | Cancer Council
    https://www.cancer.org.au/cancer-information/types-of-cancer/rare-cancers/soft-tissue-sarcoma
    Soft tissue sarcoma usually doesnt cause symptoms in its early stages. A painless lump may develop over a period of months as the cancer grows. You may develop pain as the lump grows and presses on muscles and nerves. Other symptoms may develop depending on where in the body the sarcoma is. […] A soft tissue sarcoma is a rare type of cancer that generally forms as a painless lump (tumour) in any one of these soft tissues. It can develop anywhere in the body, but most commonly in the thigh, shoulder, arm, pelvis and abdomen.
  • #2 Soft Tissue Sarcoma: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/cancer/soft-tissue-sarcoma
    The most common sign of a soft tissue sarcoma is a painless lump or growth. But some may not be noticeable until theyre big enough to press on nearby muscles or nerves. […] About 1 in 5 soft tissue sarcomas happen in the belly. You probably wouldnt learn that you have one until they caused other problems, such as stomach pain, bleeding, or a blocked intestine. A doctor might find a sarcoma in your lungs or chest only after you have chest pain or trouble breathing. […] You should see your doctor if: […] You notice a growing lump somewhere on your body. […] You have stomach pain thats getting worse. […] Your stool appears black or bloody. […] Youre vomiting blood. […] Most visible lumps arent sarcoma. Theyre usually a harmless cluster of fat cells called a lipoma. But if you have one thats bigger than 2 inches and growing or causing pain, see your doctor.
  • #2 Soft tissue sarcoma: Recognizing a rare disease | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/89/2/73
    The belief that only painful masses are worrisome is wrong. […] The UK guidelines suggest that a lump that is larger than 5 cm, exhibits growth, is deep in the body, and is painful should be considered malignant until proven otherwise. […] Increasing size is the best individual indicator of a greater risk of malignancy. […] A mass growing slowly over a period of weeks to months, painful or not, should raise more concern than a painful mass growing rapidly over a period of days. […] No change in the size of a tumor over a longer time period favors a benign diagnosis. […] Studies have found an almost linear relationship between the increasing lesion size and poorer prognosis that is independent of other factors, even for patients without metastatic disease at diagnosis. […] This is particularly true of tumors larger than 5 cm, emphasizing the point that a smaller tumor at diagnosis and treatment is associated with better prognosis.
  • #2 What does a sarcoma lump look like? | Roswell Park Comprehensive Cancer Center – Buffalo, NY
    https://www.roswellpark.org/cancertalk/202209/what-does-sarcoma-lump-look
    A soft tissue sarcoma lump on the outside of the body can appear suddenly as a rounded mass beneath the skin, usually on your arm, leg, chest, or torso. It can be soft or firm and grows noticeably bigger in weeks and months after it is first discovered. […] Typically, cancerous lumps and bumps that develop on the outside of your body are large, hard, and painless to touch; and they cannot be moved around easily. A sarcoma lump may seem harmless at first. Because it is painless and there are usually no other early symptoms, it can be easy to dismiss. […] If you have a sarcoma mass in your thigh, you are going to notice that your thigh is getting bigger. If its on the surface of the skin, you may see a specific mass that is getting bigger and bigger. Eventually the skin may start to change, Dr. Kane said.
  • #2 Sarcoma – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/sarcoma/symptoms-causes/syc-20351048
    Signs and symptoms of sarcoma include: […] A lump that can be felt through the skin that may or may not be painful. […] Bone pain. […] A bone that breaks with no clear cause, such as with a minor injury or no injury. […] Belly pain. […] Weight loss. […] The cancer cells might form a mass called a tumor. The tumor can grow to invade and destroy healthy body tissue. In time, cancer cells can break away and spread to other parts of the body. When cancer spreads, it’s called metastatic cancer.
  • #2 Symptoms of sarcoma | Macmillan Cancer Support
    https://www.macmillan.org.uk/cancer-information-and-support/soft-tissue-sarcoma/symptoms
    Soft tissue sarcomas can start in any part of the body. The symptoms depend on the part of the body that is affected. […] Soft tissue sarcoma can start in any part of the body. The symptoms depend on the part of the body affected. Often, they do not cause any symptoms until they start pressing on an organ, nerve or muscle. […] The main symptom is a lump or swelling that is: getting bigger, bigger than 5cm (2in) about the size of a golf ball, painful or tender. […] The most common symptom of sarcoma in an arm or leg is a lump that gets bigger. […] Sometimes the swelling is painful or tender, but it may be painless. […] If there is a sarcoma in the central part of the body (the trunk), symptoms will depend on the organ that is affected. […] The following are examples of sarcomas that start in the trunk: Sarcoma in a lung can cause a cough and breathlessness. Sarcoma in the tummy (abdomen) can cause pain and swelling in the tummy, vomiting (being sick) and constipation. A gastrointestinal stromal tumour (GIST) can cause bleeding in the bowel, dark-coloured poo and blood in vomit. It may also cause symptoms of anaemia, such as shortness of breath and tiredness. Sarcoma in the womb can cause bleeding from the vagina or pain in the pelvis (lower tummy). […] The main symptom of sarcoma in the skin is usually a small patch of skin that is firm, slightly raised and purplish or reddish.
  • #2 Soft tissue sarcoma in the shoulder: What to know
    https://www.medicalnewstoday.com/articles/soft-tissue-sarcoma-shoulder
    Soft tissue sarcoma is a type of cancerous tumor that forms in the bodys soft tissues, such as muscle, fat, fibrous tissue, and blood vessels. If it occurs in the shoulder, it might feel like a person has a lump on their shoulder. […] Symptoms of soft tissue sarcoma in the shoulder may include a painless lump or swelling under the skin. If the tumor is pressing on a nerve, it can cause shoulder pain or numbness in the shoulder. […] As a sarcoma grows, it may press on surrounding muscles or blood vessels, and people can feel pain and have difficulty breathing. […] Synovial sarcoma is a type of soft tissue sarcoma that affects the tissue surrounding the joints. It is common for synovial sarcoma to occur in the shoulder. […] A sarcoma lump may feel like a painless swelling or lump underneath the skin.
  • #2 What are the symptoms of liposarcoma? | MD Anderson Cancer Center
    https://www.mdanderson.org/cancerwise/what-are-the-symptoms-of-liposarcoma.h00-159775656.html
    Liposarcoma is the most common type of soft tissue sarcoma, making up about 15% to 20% of diagnoses. Liposarcoma develops in the fat cells of soft tissue, and symptoms can vary based on where the tumor is located. […] Liposarcoma symptoms can range from mild to severe, depending on the part of the body the cancer affects. […] A growing painless lump in the arm or leg is the most common symptom of liposarcoma that develops in the extremities. Other symptoms may include: Pain, Swelling, Weakness in the affected arm or leg. […] Liposarcoma can also form in the retroperitoneum, the space in the back of the abdomen. People may not notice any symptoms at first because tumors can hide in the belly. Once the tumor grows, it can press on organs, causing: Bloating or swelling in the belly, Swelling in the groin, Unintentional weight loss, Back pain, Early satiety, or feeling full very soon after eating, Constipation.
  • #2 Soft tissue sarcomas | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-teenagers-and-young-adults/soft-tissue-sarcomas-teenagers-and-young-adults/
    The symptoms of a sarcoma will depend on where it is: […] if its in an arm or leg, symptoms include a lump or swelling in the limb this is usually painless, but not always […] if its in the tummy (abdomen), symptoms include a painful, swollen tummy, and problems going to the toilet to poo (called constipation) […] if its in your bladder, symptoms include pain in the lower tummy, finding it difficult to pee (pass urine), and having blood in your pee […] if its in the chest, symptoms can include breathlessness, a cough and pain in your chest […] if its in the head or neck, symptoms include a lump, a blockage and discharge from the nose or throat; occasionally an eye may become swollen and stick out a bit. […] You may also have other symptoms, such as tiredness, loss of appetite or weight loss.
  • #2 6 Top Soft Tissue Sarcoma Symptoms & Signs | MD Anderson Cancer Center
    https://www.mdanderson.org/cancer-types/soft-tissue-sarcoma/soft-tissue-sarcoma-symptoms.html
    Well-differentiated liposarcoma is the most common type of liposarcoma. These tumors tend to be low-grade and slow-growing. Its possible to have well-differentiated liposarcoma for several years and not know until the tumor grows large enough to cause symptoms. […] Dedifferentiated liposarcoma, myxoid liposarcoma and pleomorphic liposarcoma are aggressive. […] Liposarcoma in the abdomen doesnt always have obvious symptoms. So, Id urge you to see a doctor for any concerning changes to your bowel habits or appetite, or unexplained weight loss. […] You know your body, so trust your instincts. If something doesnt feel right or you have symptoms that are worsening, talk to your doctor.
  • #2 Soft Tissue Sarcoma: Symptoms, Signs and Causes
    https://www.hcgoncology.com/types-of-cancers/soft-tissue-sarcoma-symptoms-and-causes/
    Unexplained weight loss may also be a soft tissue sarcoma sign. […] Tarry stools may also be a soft tissue sarcoma sign, especially when the tumor grows in the abdominal cavity. […] The soft tissue sarcoma signs include painful or painless lumps, nausea and vomiting, unintended weight loss, and black and tarry stools. […] Unexplained weight loss, a painful or painless fast-growing lump, nausea and vomiting, abdominal pain, and blood in stools are the red flags for soft tissue sarcoma.
  • #2 Childhood Soft Tissue Sarcoma – NCI
    https://www.cancer.gov/types/soft-tissue-sarcoma/patient/child-soft-tissue-treatment-pdq
    Soft tissue sarcoma may appear as a painless lump under the skin, often on an arm, a leg, the chest, or the abdomen. There may be no other symptoms at first. As the sarcoma gets bigger and presses on nearby organs, nerves, muscles, or blood vessels, it may cause symptoms, such as pain or weakness. Fever, weight loss, night sweats, and low or high blood sugar levels are rare symptoms. […] Soft tissue sarcoma occurs in children and adults. Soft tissue sarcoma in children may respond differently to treatment and may have a better prognosis than soft tissue sarcoma in adults.
  • #2 Early symptoms of bone and soft tissue sarcomas: could they be diagnosed earlier? – PubMed
    https://pubmed.ncbi.nlm.nih.gov/22613305/
    Delays in diagnosis are common for patients with bone and soft tissue sarcoma (STS) despite guidance produced by the National Institute for Health and Clinical Excellence. This study set out to identify early symptoms experienced by patients and reasons for delays in making a definitive diagnosis. […] The median patient delay was 1 month while the median doctor delay was 3.2 months from first symptoms to diagnosis for all sarcomas. Forty-nine patients with STS (74%) presented initially to their general practitioner with at least one guideline feature to prompt urgent referral. Only 2 patients (4%), however, were referred directly to a sarcoma unit, with 21 (43%) referred to secondary care for investigation. Patients with a lump increasing in size exhibited longer patient delays while doctor delay was shorter for deep lumps.
  • #2 Soft tissue sarcoma: Recognizing a rare disease | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/89/2/73
    Unfortunately, in the United Kingdom, the average wait for a patient from noticing symptoms to referral and subsequent investigations is 92 weeks. […] By the time of diagnosis, the average tumor size is 10 cm or larger. […] According to guidelines, a patient with a concerning lump or mass that is increasing in size, larger than 5 cm, in the deep fascia, and painful should be referred immediately to a sarcoma center for further evaluation, even if the risk of malignancy is only 3% to 4%. […] Early referral is important to improve the outcomes.
  • #2 6 Top Soft Tissue Sarcoma Symptoms & Signs | MD Anderson Cancer Center
    https://www.mdanderson.org/cancer-types/soft-tissue-sarcoma/soft-tissue-sarcoma-symptoms.html
    Signs of sarcoma vary from person to person. Many times sarcoma does not have symptoms in the early stages. Only about half of soft-tissue sarcomas are found in the early stages before they spread. […] The location of the sarcoma makes a difference in the symptoms. For instance if they start: On the arms or legs, you may notice a lump that grows over a period of weeks to months. It may hurt, but it usually doesnt. […] In the retroperitoneum (the back wall inside the abdomen), they may cause problems that have symptoms, such as pain. Tumors may cause blockage or bleeding of the stomach or bowels. They may grow large enough for the tumor to be felt in the abdomen. […] If you have any of the following problems, talk to your doctor: A new lump or a lump that is growing anywhere on your body, Abdominal pain that is getting worse, Blood in your stool or vomit, Black, tarry stools (this may mean there is internal bleeding).
  • #2 Soft tissue sarcomas | nidirect
    https://www.nidirect.gov.uk/conditions/soft-tissue-sarcomas
    Soft tissue sarcomas often have no obvious symptoms in the early stages. […] They can cause symptoms as they get bigger or spread. The symptoms depend on where the cancer develops. […] For example: cancer in the tissue under the skin may cause a soft, painless lump that can’t easily be moved around and gets bigger over time; cancer near the stomach may cause tummy (abdominal) pain, a persistent feeling of fullness and constipation; cancer near the lungs may cause a cough or breathlessness. […] If it’s detected at an early stage, or is a low grade tumour and it can be removed during surgery, a cure is usually possible. […] Larger, higher grade tumours have a greater risk of coming back or spreading. […] A cure isn’t usually possible if a soft tissue sarcoma is only detected when it has already spread to other parts of the body. Although treatment can help slow the spread of the cancer and control your symptoms.
  • #2 Bone & Soft Tissue Sarcomas: Musculoskeletal Cancer Symptoms & Treatments
    https://resources.healthgrades.com/right-care/cancer/musculoskeletal-cancer
    It’s important to see your doctor promptly if you suspect a problem. In general, the earlier you find cancer and start treatment, the better the outcome is likely to be. It’s also important to know that all bone pain is not due to cancer. Children especially can experience bone pain from other noncancerous conditions. This includes overuse injuries and growing pains. Contact your doctor for an evaluation if symptoms persist for several days.
  • #3 6 Top Soft Tissue Sarcoma Symptoms & Signs | MD Anderson Cancer Center
    https://www.mdanderson.org/cancer-types/soft-tissue-sarcoma/soft-tissue-sarcoma-symptoms.html
    Well-differentiated liposarcoma is the most common type of liposarcoma. These tumors tend to be low-grade and slow-growing. Its possible to have well-differentiated liposarcoma for several years and not know until the tumor grows large enough to cause symptoms. […] Dedifferentiated liposarcoma, myxoid liposarcoma and pleomorphic liposarcoma are aggressive. […] Liposarcoma in the abdomen doesnt always have obvious symptoms. So, Id urge you to see a doctor for any concerning changes to your bowel habits or appetite, or unexplained weight loss. […] You know your body, so trust your instincts. If something doesnt feel right or you have symptoms that are worsening, talk to your doctor.
  • #3 Soft Tissue Sarcoma Causes, Symptoms, and Treatments
    https://www.upmc.com/services/orthopaedics/conditions/soft-tissue-sarcoma
    Symptoms of soft tissue sarcoma may include: […] A new lump or a lump gradually growing anywhere on your body that may or may not hurt. […] Worsening abdominal pain. […] Black, tarry stools (can occur when there’s bleeding in the stomach or intestines, causing the blood to turn black and make your poop very dark and sticky). […] Blood in your stool or vomit. […] When sarcomas develop in the back of the abdomen (the retroperitoneum), symptoms often result from issues caused by the tumor. These may include blockages or bleeding in the stomach or intestines; pressure on nerves, blood vessels, or nearby organs; or the tumor growing large enough to be felt in the belly. […] Although the symptoms of soft tissue sarcoma can be caused by other conditions, too, see your doctor right away if you’re having them.