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在联合抗逆转录病毒治疗时代感染 HIV 的肺癌患者。

Lung cancer in HIV-infected patients in the combination antiretroviral treatment era.

机构信息

1 Fundació Lluita contra la Sida, Hospital Universitari Germans Trias i Pujol, Badalona, Spain ; 2 Universitat Autònoma de Barcelona (UAB), Barcelona, Spain ; 3 Medical Oncology Department, Catalan Institute of Oncology (ICO-Badalona), Hospital Universitari Germans Trias i Pujol, Badalona, Spain ; 4 Fundació IrsiCaixa, Hospital Universitari Germans Trias i Pujol, Badalona, Spain ; 5 Universitat de Vic-Universitat Central de Catalunya (UVIC-UCC), Spain.

出版信息

Transl Lung Cancer Res. 2015 Dec;4(6):678-88. doi: 10.3978/j.issn.2218-6751.2015.08.10.

Abstract

The advent of combination antiretroviral treatment (cART) has been followed by a decrease in HIV-associated morbidity and mortality, but also by an apparent increase in the incidence of non-AIDS-defining cancers (NADCs). The risk of lung cancer is substantially higher in HIV-infected patients than in the general population, in part due to aging and tobacco use, and it is the most frequent NADC. The management of lung cancer in HIV-infected patients has some peculiarities that need to be taken into account. This review focuses on the epidemiology, risk factors, and clinical management of lung cancer in HIV-infected patients. In addition, screening tools and future perspectives are also discussed.

摘要

联合抗逆转录病毒治疗(cART)的出现降低了与 HIV 相关的发病率和死亡率,但也明显增加了非艾滋病定义性癌症(NADC)的发病率。与普通人群相比,HIV 感染者患肺癌的风险要高得多,部分原因是衰老和吸烟,而且肺癌也是最常见的 NADC。HIV 感染者肺癌的治疗有一些需要考虑的特殊性。本综述重点介绍了 HIV 感染者肺癌的流行病学、危险因素和临床管理。此外,还讨论了筛查工具和未来展望。

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