The main initial complaint to the doctor is because of the development of a lump. This is difficult for the doctor as many similar lumps will be benign but the appearance and progression of such a lump should alert physicians to the possibility of a sarcoma.
Of course, when the lump has grown to a large size it causes secondary pressure symptoms that may cause presentation complaints depending on the situation of the growth.
Occasionally, the patient may present with symptoms of metastatic disease; it is noteworthy that sarcomas metastasise to the lungs in the first instance in most cases, although regional node metastatic disease is a feature of some (e.g. synovial sarcoma).
