22/07/2025
Men get Leiomyosarcoma too!
“Elements of my story that I am sure will resonate with many fellow LMS patients – misdiagnoses, mis-recording of details, being passed between various medical units – but currently NED so, so far so good.
My story started in January 2020 when I noted a small lump on my upper right arm and saw my GP whose notes reflect the lump being “about 5 – 6 mm raised nodule, no active inflammation, non-tender, no signs of infection”. The GPs notes also include “Reassured. Review if starts becoming red, big, pus or any other changes”
In September 2021 I had a further GP appointment as the lump hadn’t changed but hadn’t gone away. This was a telephone appointment due to Covid restrictions. From the photographs I provided (which included a coin for scale), the GP concluded the lump was a “2 – 3 cm cyst” and referred me to a local Dermatology clinic. Note this recorded increase in size from 5 – 6 mm to 2 – 3 cm is nonsense. The lump hadn’t changed size in the intervening 18 months or so.
In October 2021 the Doctor at the local Dermatology Clinic took no more than 10 seconds to look at the lump using a magnifying torch to diagnose Basal Cell Carcinoma for which excision was scheduled for January 2022.
In February 2022 the results of the biopsy of the lump confirmed LMS but because “completion of excision at the deep margin cannot be confirmed” I was referred to a Plastic Surgery Clinic whose records indicate I needed “a wide local excision with 2 cm margin and follow up for 2 years”.
In March 2022 the wide local excision was completed with results showing “no residual LMS is seen”.
I then had a series of regular follow-up appointments at the same hospital in either their Dermatology or Melanoma clinics. There seemed to be no pattern as to why I was assigned to which clinic for any given appointment.
It was around the summer of 2022 started educating myself about LMS and the importance of regular scans and during an appointment in September that year at a Melanoma Clinic I asked to have a schedule for scans. The Doctor advised they don’t do scans for LMS patients. Having researched the best place and best Doctor for looking after folks diagnosed with LMS I set about having my care transferred to being under Professor Robin Jones at Royal Marsden, Chelsea and this move completed in February 2023. I now undergo regular (started with quarterly, now reduced to 6 monthly) Chest, Abdomen and Pelvis CT scans with contrast.
Between my 1st GP visit in January 2020 and being under cover of Royal Marsden just over 3 years later I saw 11 different Doctors – I never saw the same one more than once. Now I am at Royal Marsden it is immensely reassuring to have a consistent and familiar routine meeting the same faces who have a detailed and comprehensive understanding of both me and my history and the disease.
I am convinced that there is a cure for LMS and that medical science will unearth it. The solution may not be found tomorrow or next week but without research it will remain hidden. This is why I am proud to be a part of LMS Research UK.” Colin, Trustee LMSRUK