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医源性结肠卡波西肉瘤并发于一名人类免疫缺陷病毒阴性的难治性溃疡性结肠炎患者。

Iatrogenic colorectal Kaposi's sarcoma complicating a refractory ulcerative colitis in a human immunodeficiency negative-virus patient.

作者信息

Chtourou L, Ayedi L, Rejab H, Boudabous M, Mnif L, Grati A, Boudaouara T, Mzali R, Amouri A, Tahri N

机构信息

Gastroenterology department, Hedi Chaker University Hospital, Sfax, Tunisia.

Histopathology department, Habib Bourguiba University Hospital, Sfax, Tunisia.

出版信息

Pathologica. 2017 Dec;109(4):371-374.

Abstract

Kaposi sarcoma is an unusual tumor associated to a human herpes virus-8 infection involving the skin or internal organs. Iatrogenic Kaposi's sarcoma often occurs in patients receiving immunosuppressive therapy. So far, a few Kaposi's sarcoma cases have been reported in the literature associated with inflammatory bowel diseases. We report a 53-year-old male diagnosed with a severe refractory ulcerative colitis who was treated with corticosteroids and azathioprine. The patient underwent a colectomy after the failure of medical treatment. Histological examination of the colon showed findings suggestive of Kaposi's sarcoma. Immunohistochemistry for human herpes virus-8 was positive in the colonic lesions. Correspondence.

摘要

卡波西肉瘤是一种与人类疱疹病毒8型感染相关的罕见肿瘤,可累及皮肤或内脏器官。医源性卡波西肉瘤常发生于接受免疫抑制治疗的患者。迄今为止,文献中已有少数卡波西肉瘤病例报道与炎症性肠病相关。我们报告一例53岁男性,诊断为重度难治性溃疡性结肠炎,接受了皮质类固醇和硫唑嘌呤治疗。药物治疗失败后患者接受了结肠切除术。结肠组织学检查结果提示为卡波西肉瘤。结肠病变中人类疱疹病毒8型免疫组化呈阳性。通信。

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