[Treatment of patients with sarcoma of the uterus]

The choice of treatment for uterine sarcoma should be determined by histological pattern and stage of tumor as well as by the patient's general condition. Operation should be withheld unless it is life-saving. The extent of surgery should vary from extirpation of the uterus with the appendages (leiomyosarcoma) to extended extirpation with pelvic lymphadenectomy for mixed mesodermal tumor, carcinosarcoma and endometrial stromal sarcoma. In the three latter cases, surgery should be followed by distant and/or endovaginal irradiation. Administration of such antitumor antibiotics as carminomycin and adriamycin assures a significantly longer survival in cases of recurrent and disseminated uterine sarcoma.