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抗逆转录病毒治疗时代HIV感染患者非艾滋病定义性癌症的临床表现及预后:意大利艾滋病与肿瘤合作研究组的活动

Clinical presentation and outcome of non-AIDS defining cancers, in HIV-infected patients in the ART-era: the Italian Cooperative Group on AIDS and tumors activity.

作者信息

Berretta M, Martellotta F, Di Francia R, Spina M, Vaccher E, Balestreri L, Borsatti E, Bearz A, De Paoli P, Tirelli U

机构信息

Division of Medical Oncology A, National Cancer Institute of Aviano, Aviano (PN), Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2015 Oct;19(19):3619-34.

Abstract

The advent of antiretroviral therapy (ART) has markedly extended the survival rates of patients with human immunodeficiency virus (HIV), leading to suppression even though not eradication of HIV. In HIV infected patients, cancer has become a growing problem, representing the first cause of death. A large number of worldwide studies have shown that HIV infection raises the risk of many non-AIDS defining cancers (NADCs), including squamous cell carcinoma of the anus (SCCA), testis cancer, lung cancer, cancer of the colon and rectum (CRC), skin (basal cell skin carcinoma and melanoma), Hodgkin disease (HD) and hepatocellular carcinoma (HCC). Generally in HIV positive patients NADCs are more aggressive and in advanced stage disease than in the general population. In the ART era, however, the outcome of HIV positive patients is more similar as in the general population. Only about lung cancer the outcome seems different between HIV positive and HIV negative patients. The aim of this article is to provide an up-date on NADCs within the activity of the Italian Cooperative Group on AIDS and Tumors (GICAT) to identify clinical prognostic and predicting factors in patients with HIV infection included in the GICAT.

摘要

抗逆转录病毒疗法(ART)的出现显著延长了人类免疫缺陷病毒(HIV)感染者的生存率,即便未能根除HIV,但也能实现病毒抑制。在HIV感染患者中,癌症已成为一个日益严重的问题,是首要死因。大量全球研究表明,HIV感染会增加多种非艾滋病定义癌症(NADC)的风险,包括肛门鳞状细胞癌(SCCA)、睾丸癌、肺癌、结肠直肠癌(CRC)、皮肤癌(基底细胞皮肤癌和黑色素瘤)、霍奇金病(HD)和肝细胞癌(HCC)。一般而言,HIV阳性患者的NADC比普通人群中的更为侵袭性且处于疾病晚期。然而,在ART时代,HIV阳性患者的预后与普通人群更为相似。只有肺癌在HIV阳性和HIV阴性患者中的预后似乎有所不同。本文旨在更新意大利艾滋病与肿瘤合作组(GICAT)活动范围内关于NADC的信息,以确定纳入GICAT的HIV感染患者的临床预后和预测因素。

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