Sarcoma de Kaposi - Envolvimento visceral na Sida

Authors

  • Maria João Leitão Interna do Complementar de Medicina Interna Serviço de Medicina do Hospital de Santa Marta

Keywords:

Kaposi's sarcoma, visceral KS, HIV infections, acquired imunodeficiency syndrome, HIV

Abstract

Kaposi's Sarcoma (KS) is a multifocal neoplasm affecting mainly the shin, but it can reach the visce­ral organs. Four variants are described· classic KS, African endemic, iatrogenic and epidemie. The lat­ ter occurred with the association of this tumour to AIDS and took important proportions, as for its fre­quency as for the disseminated clinical expression with stressed visceral plasm. There is a correlation between the degree of immunological deficiency and the extent of the di­sease.

AlDS-related KS presents visceral involvement on 50 to 70% of the patients. However, the isolated vis­ceral involvement is rare. It is described the gas­ trointestina pulmonaly and cardiac expression of the disease, because those are the most affected or­ gans. The treatment is merely paliative and it can be local or systemic. The KS is rarely the cause of dead, except on the pulmonary involvement. The pa­tients usually die due tyo opportunistic infection .

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References

Safai B. Pathophysiology and Epidemiology of Epidemie Kaposi's Sarcoma. Seminars in Oncology 1987; 14: 7-12

Tappero JW, Conant MA, Wolfe SF et al. Kaposi's Sarcoma. J Am Acad Dermatol 1993; 28:371-395

ChoJ, Chachoua A. Kaposi's Sarcoma. Curr Opin Oncol 1992; 4: 667-673

Mitsuyasu RT. Clinica! Variants and Staging of Kaposi's Sarcoma. Seminars in Oncology 1987;14: 13-18

Buchbinder A, Friedman-Kien AE. Clinica! aspects of Kaposi's Sarcoma. Curr Opin Oncol 1992; 4: 867-874

Muggia FM, Lonberg M. Kaposi's Sarcoma and AlDS. Med Clin NorthAm 1986; 70:139-154

Friedman-Kien AE, Laubenstein LJ, Rubinstein P et al. Dissemina­ ted Kaposi's Sarcoma in Homosexual Men Ann IntMed 1982; 96 (Part 1): 693-700

GroopmanJF. Neoplasms in tho Aquired Immune Deficiency Syn­drome: The Multidisciplinary Apploach to Treatment. Semi­ nars in Oncology 1987;14: 1-6

Lafeuillade A. Poizot-Martin I, Dhiver C et al. Maladie de Kaposi au cours du SIDA. PresseMéd 1991; 20:113-116

Bera! V, Bull D, Darby S et al. Rik of Kaposi's Sarcoma and sexual practices associated with faecal contact in homo­sexual or bisexual men with AIDS. Lancet 1992; 339: 632- 635

Gill PS, Rarick M, McCutchan JA et al. Systemic Treatment of AIDS-Related Kaposi's Sarcoma: Results of a Randomized Tri­al. AmJ Med 1991; 90: 427-433

Wit R AlDS-associated Kaposi's sarcoma and the mechanisms of interferon alpha's activity; a riddle within a puzzle. J lnt Med 1992; 231: 321-325

Parente F, Cernuschi M, Orlando G et al. Kaposi's Sarcoma and AIDS: frequency of gastrointesnal involvement and its effect on survival. A prospective study in an hererogeneous popu­lation. ScandJ Gastroenterol 1991; 26: 1007-1012

Pereira R, Martins JS, Teiga C et al. Radiologia da SIDA. Acta Radiol Portug 1992; 4: 125-143

Sadaghdar H, Eden E. Pulmonary Kaposi's Sarcoma Presenting as Fulminam Respiratory Failure. Chest 1991; 100: 858-860

McKenzie R, Travis WD, Dolan SA et al. The Causes of Death in Patients with Human Immunodeficiency- Virus Infection: A clinical and Pathologic Study with Emphasis on the Role of Pulmonary Diseases. Medicine 1991; 70: 326-343

Steigman CK, Anderson DW, Macher AM et al. Fatal cardiac tamponade in acquired immunodeficiency syndrome with epicardial Kaposi's sarcoma. Am Heart J 1988; 116: 1105-1107

Bach MC, Bagwell SP, Fanning lP. Primary Pulmonary Kaposi's Sarcoma in the Acquired lmmunodeficiency Syndrome: A Cause of Persistent Pyrexia. Am J Med 1988; 85: 274-275

Girard PM, Marche C, Maslo C et al. Les manifestations digesti­ves au cours du syndrome d'immunodificience acquise. Ann Med Interne 1987; 138: 411-415

Lim SG, Lipman M, Squire S et al. Audit of endoscopic surveillan­ce biopsy specimens in HIV positive patients with gastrointestinal symptoms. Gut 1993; 34: 1429-1432

Miller RF, Tomlinson MC, Cottrill CP et al. Bronchopulmonary Kaposi's sarcoma in patients with AIDS. Thorax 1992: 47: 721- 725

Mitchell DM, McCarty M, Fleming J et al. Bronchopulmonary Kaposi's sarcoma in patient with AIDS. Torax 1992; 47: 726- 729

Pozniak AL, Latif AS, Houston S et al. Pulmonary Kaposi's sarco­ma in Africa. Thorax 1992; 47: 730-733

Doyle M, Johnstone PA, Watkins EB. Role of Radiation Therapy in Pulmonary Kaposi's Sarcoma. Southern Med J 1993; 86: 285-

Ogibene FP, Steis RG, Macher AM et al. Kaposi's Sarcoma Cau­ sing Pulmonary lates and Respiratory Failure in the Acquired Immunodeficiency Syndrome. Ann Int Med 1985; 102: 47-475

Garay Sm, Belenko M, Fazzini, E et al. Pulmonary Manifestations os Kaposi's Sarcoma. Chest 1991; 1: 39-43

Fouret PJ, Touboul Jl, Mayaud CM et al. Pulmonary Kaposi's Sarco­ ma with patients with acquired immune deficiency syndrome: a clinical pathological study. Thorax 1987; 42: 262-268

Meduri GU, Stover DE, Lee Metal. Pumonary Kaposi's Sarcoma in the Acquired Immune Deficiency Syndrome. AmJ Med 1986; 81: 11-18

Gill PS, Akil B, Colletti P et al. Pulmonary Kaposi's Sarcoma: Clinica! Findings and Results of therapy. Am J Med 1989; 87: 57-61

Aderno LJ. Carduc Complications in Acquired Immunodeficien­ cy Syndrome (AIDS): A Review. J Am Coll Cardiol 1989; 13: 1144-1154

Kaul S, Fishbein MC, Siegel RJ. Cardiac manifestations of acqui­red immune deficiency syndrome: A 1991 update. Am Heart J 1991; 122: 535-544

Ivernois C, Lacut JY, Warin IF. Atteintes cardiaques au cours du SIDA. Presse Méd 1991; 20: 68-70

Stotka JL, Good CB, Downer WR et al. Pericardial Effusion and Tamponade due to Kaposi's Sarcoma in Acquired immuno­ deficiency Syndrome. Chest 1989; 95: 1359-1361

Lewis W. AIDS: Cardiac Findings from 115 Autopsies. Progress Cardovasc Dis 1989; 32: 207-215

Hill DR The Ro!e of Radiotherapy for Epidemie Kaposi's Sarco­ ma. Seminars in Oncology 1987; 14: 19-22

Krown SE. The Role of Interferon in the Therapy of Epidemie Kaposi's Sarcoma. Seminars in Oncology 1987; 14: 27-33

Volberding PA The Role of Chemotherapy for Epidemie Kaposi's Sarcoma. Seminars in Oncology 1987; 14: 23-26

Additional Files

Published

1995-03-31

How to Cite

1.
Leitão MJ. Sarcoma de Kaposi - Envolvimento visceral na Sida. RPMI [Internet]. 1995 Mar. 31 [cited 2024 Dec. 18];2(1):28-32. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2341

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Review Articles

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