表现为全肺实变的肺卡波西肉瘤。
Pulmonary Kaposi sarcoma presenting as complete lung consolidation.
作者信息
Alwassia Ahmad, Alshathri Ziyad, Khosla Rahul, Spagnolo Samuel V
机构信息
Department of Pulmonary Critical Care, George Washington University Hospital, Washington, DC, USA.
Department of Pulmonary Critical Care, US Department of Veterans Affairs, Washington, DC, USA.
出版信息
BMJ Case Rep. 2017 Mar 22;2017:bcr2016219048. doi: 10.1136/bcr-2016-219048.
Abstract
The patient in our case presented with progressive dyspnoea and cough. Chest radiograph reveals complete opacification of the hemithorax. Complete lung consolidation was not seen on chest CT. The patient in this case had extensive pulmonary and endobronchial Kaposi sarcoma (KS) that led to complete consolidation of the right lung that was diagnosed via bronchoscopy. After diagnosis, he was restarted on antiretroviral therapy and single-agent chemotherapy for treatment of pulmonary KS.
摘要
我们病例中的患者表现为进行性呼吸困难和咳嗽。胸部X线片显示半侧胸腔完全致密影。胸部CT未发现完全性肺实变。该病例患者患有广泛的肺部和支气管内卡波西肉瘤（KS），导致右肺完全实变，通过支气管镜检查确诊。诊断后，他重新开始接受抗逆转录病毒治疗和单药化疗以治疗肺部KS。
相似文献
1
Pulmonary Kaposi sarcoma presenting as complete lung consolidation.
BMJ Case Rep. 2017 Mar 22;2017:bcr2016219048. doi: 10.1136/bcr-2016-219048.
2
Pulmonary Kaposi's Sarcoma - Initial Presentation of HIV Infection.
Folia Med (Plovdiv). 2019 Dec 31;61(4):643-649. doi: 10.3897/folmed.61.e47945.
3
Chronic cough conundrum: a case report of a new diagnosis of HIV and pulmonary Kaposi's sarcoma.
BMC Pulm Med. 2017 Mar 20;17(1):52. doi: 10.1186/s12890-017-0395-5.
4
A patient with HIV, dyspnea, and multiple pulmonary nodules: pulmonary Kaposi sarcoma.
Chest. 2006 Dec;130(6):1924-8. doi: 10.1378/chest.130.6.1924.
5
Imaging features of pulmonary Kaposi sarcoma-associated immune reconstitution syndrome.
AJR Am J Roentgenol. 2007 Oct;189(4):956-65. doi: 10.2214/AJR.07.2458.
6
Kaposi Sarcoma of the eyelid as an initial manifestation of AIDS.
Dermatol Online J. 2016 Jul 15;22(7):13030/qt2jw6t7cs.
7
Fatal pulmonary Kaposi sarcoma in an HIV seronegative AIDS patient.
Clin Respir J. 2017 Nov;11(6):1040-1044. doi: 10.1111/crj.12463. Epub 2016 Mar 2.
8
Pulmonary Kaposi's sarcoma revealed by a solitary nodule in a patient with acquired immunodeficiency syndrome.
Am J Respir Crit Care Med. 1994 Apr;149(4 Pt 1):1041-3. doi: 10.1164/ajrccm.149.4.8143039.
9
Pulmonary Kaposi's sarcoma presenting as diffuse reticular nodular infiltrates with cavitary lesions.
South Med J. 1990 Sep;83(9):1096-8. doi: 10.1097/00007611-199009000-00028.
10
Total resolution of ocular Kaposi sarcoma with different treatment approaches - a case series and review of literature.
Int J STD AIDS. 2019 Jul;30(8):802-809. doi: 10.1177/0956462418825353. Epub 2019 May 2.
引用本文的文献
1
Pulmonary Kaposi Sarcoma without Respiratory Symptoms and Skin Lesions in an HIV-Naïve Patient: A Case Report and Literature Review.
Infect Dis Rep. 2022 Mar 25;14(2):228-242. doi: 10.3390/idr14020028.
2
Current and Future Tools for Diagnosis of Kaposi's Sarcoma.
Cancers (Basel). 2021 Nov 25;13(23):5927. doi: 10.3390/cancers13235927.
3
Pulmonary involvement in acquired immunodeficiency syndrome-associated Kaposi's sarcoma: a descriptive analysis of thin-section manifestations in 29 patients.
Quant Imaging Med Surg. 2021 Feb;11(2):714-724. doi: 10.21037/qims-20-284.
4
Rare presentation of bronchopulmonary Kaposi sarcoma.
BMJ Case Rep. 2019 Aug 26;12(8):e229436. doi: 10.1136/bcr-2019-229436.
本文引用的文献
1
Epstein-barr virus- and Kaposi sarcoma-associated herpesvirus-related malignancies in the setting of human immunodeficiency virus infection.
Semin Oncol. 2015 Apr;42(2):258-71. doi: 10.1053/j.seminoncol.2014.12.026. Epub 2014 Dec 31.
2
Prospective stage-stratified approach to AIDS-related Kaposi's sarcoma.
J Clin Oncol. 2014 Feb 10;32(5):409-14. doi: 10.1200/JCO.2013.51.6757. Epub 2013 Dec 30.
3
Kaposi sarcoma incidence and survival among HIV-infected homosexual men after HIV seroconversion.
J Natl Cancer Inst. 2010 Jun 2;102(11):784-92. doi: 10.1093/jnci/djq134. Epub 2010 May 4.
4
A patient with HIV, dyspnea, and multiple pulmonary nodules: pulmonary Kaposi sarcoma.
Chest. 2006 Dec;130(6):1924-8. doi: 10.1378/chest.130.6.1924.
5
Thoracoscopic management of pleural effusions in Kaposi's sarcoma: a rapid and effective alternative for diagnosis and treatment.
South Med J. 2002 Aug;95(8):919-21.
6
Intrathoracic Kaposi's sarcoma in women with AIDS.
Chest. 2000 Feb;117(2):410-4. doi: 10.1378/chest.117.2.410.
7
Presentation of AIDS-related pulmonary Kaposi's sarcoma diagnosed by bronchoscopy.
Am J Respir Crit Care Med. 1996 Apr;153(4 Pt 1):1385-90. doi: 10.1164/ajrccm.153.4.8616570.
8
Results of chemotherapy in 30 AIDS patients with symptomatic pulmonary Kaposi's sarcoma.
Thorax. 1994 Oct;49(10):958-60. doi: 10.1136/thx.49.10.958.
9
Pulmonary Kaposi's sarcoma in the acquired immune deficiency syndrome. Clinical, radiographic, and pathologic manifestations.
Am J Med. 1986 Jul;81(1):11-8. doi: 10.1016/0002-9343(86)90175-0.
10
Intrathoracic Kaposi sarcoma in AIDS patients: radiographic-pathologic correlation.
Radiology. 1987 May;163(2):495-500. doi: 10.1148/radiology.163.2.3562832.
Zotero 插件