Suppr超能文献

[与艾滋病病毒相关的恶性肿瘤:最新进展]

[HIV-related malignancies: state of art].

作者信息

Gobert Aurélien, Mounier Nicolas, Lavole Armelle, Poizot-Martin Isabelle, Spano Jean-Philippe

机构信息

Centre René Huguenin, Service radiothérapie, 35, rue Dailly, 92210 Saint-Cloud, France.

Centre hospitalo-universitaire l'Archet, Service hématologie, 151, rue St-Antoine-de-Ginestière, 06200 Nice, France.

出版信息

Bull Cancer. 2014 Nov;101(11):1020-9. doi: 10.1684/bdc.2014.2032.

Abstract

HIV infection is related to an increased risk of cancer compared with general population, both AIDS-defining cancers (Kaposi's sarcoma, non Hodgkin's lymphoma, invasive cervical cancer) and non-AIDS-defining cancers. Although the advent of the highly active antiretroviral therapy era has decreased the Kaposi's sarcoma and non-Hodgkin's lymphoma incidences, non-AIDS-defining malignancies, such as lung cancer, hepatocarcinoma, anal cancer and skin cancers, remain a major cause of morbidity and death in the HIV-infected population. The clinical presentation is often different between the infected and non-infected populations, often with a more advanced stage at diagnosis, a more aggressive pathology, and associated morbidities like immunosuppression, leading to poorer outcomes. Numerous studies have focused on HIV-related malignancies' treatment, however specific guidelines are still missing. Practitioners have to be careful with interactions between antiretroviral and antineoplastic drugs, particularly through the cytochrome P 450. Because of this, a national multidisciplinary approach, "Cancer and HIV, " was started in 2013 thanks to the National Institute of Cancer (INCa). The aim of this review is to present a scientific update about AIDS-and non-AIDS-defining malignancies, both in their clinical aspects and regarding their specific therapeutic management.

摘要

与普通人群相比,HIV感染与患癌风险增加有关,包括艾滋病相关定义的癌症(卡波西肉瘤、非霍奇金淋巴瘤、浸润性宫颈癌)以及非艾滋病相关定义的癌症。尽管高效抗逆转录病毒治疗时代的到来已降低了卡波西肉瘤和非霍奇金淋巴瘤的发病率,但非艾滋病相关定义的恶性肿瘤,如肺癌、肝癌、肛门癌和皮肤癌,仍然是HIV感染人群发病和死亡的主要原因。感染者和未感染者的临床表现往往不同,感染者通常在诊断时处于更晚期阶段,病理更具侵袭性,且伴有免疫抑制等相关疾病,导致预后较差。众多研究聚焦于HIV相关恶性肿瘤的治疗,但仍缺乏具体指南。从业者必须小心抗逆转录病毒药物和抗肿瘤药物之间的相互作用,尤其是通过细胞色素P 450介导的相互作用。因此,在国家癌症研究所(INCa)的推动下,于2013年启动了一项全国性多学科计划“癌症与HIV”。本综述的目的是就艾滋病相关和非艾滋病相关定义的恶性肿瘤,在其临床方面以及具体治疗管理方面,呈现科学的最新进展。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验