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一系列卡波西肉瘤患者(地中海/经典型):病例报告及发病机制与治疗的简要更新

A Series of Patients with Kaposi Sarcoma (Mediterranean/Classical Type): Case Presentations and Short Update on Pathogenesis and Treatment.

作者信息

Temelkova Ivanka, Tronnier Michael, Terziev Ivan, Wollina Uwe, Lozev Ilia, Goldust Mohamad, Tchernev Georgi

机构信息

Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, General Skobelev Nr 79, Sofia, Bulgaria.

Helios Klinikum GMBH-Dermatology, Venereology and Allergology Senator-Braun-Allee 33 Hildesheim, Hildesheim, Germany.

出版信息

Open Access Maced J Med Sci. 2018 Sep 20;6(9):1688-1693. doi: 10.3889/oamjms.2018.354. eCollection 2018 Sep 25.

Abstract

BACKGROUND

Kaposi's sarcoma was first described in 1872 by Moritz Kaposi. To date, it is considered a malignant disease is originating from the endothelial cells of the lymphatic vessels believed to be infected with HHV-8. The current classification defines four major epidemiological forms of Kaposi's sarcoma: classical, endemic, AIDS-associated, and iatrogenic.

CASE REPORT

A 90-year-old male is presented with multiple plaques- and tumour-shaped brown-violet formations located on an erythematous-livid base in the area of both feet and both shanks. Two samples were taken from the lesions on the skin of the shanks, with histopathological examination and the subsequent immunohistochemistry showing Kaposi's sarcoma.

CONCLUSIONS

Kaposi sarcoma is a disease that causes difficulties both in diagnostic and therapeutic respect. The only sure way to determine the correct diagnosis is immunohistochemical staining with the anti-HHV8 antibody. Despite the wide range of systematic and local treatment options, there is still no unified algorithm and a unified strategy for the treatment of Kaposi's sarcoma.

摘要

背景

卡波西肉瘤于1872年由莫里茨·卡波西首次描述。迄今为止,它被认为是一种起源于被认为感染了HHV - 8的淋巴管内皮细胞的恶性疾病。目前的分类定义了卡波西肉瘤的四种主要流行病学形式:经典型、地方性、艾滋病相关型和医源性。

病例报告

一名90岁男性,双足和双小腿部位出现多个斑块状和肿瘤状的棕紫色皮损,其基底为红斑性青紫色。从双侧小腿皮肤病变处取了两个样本,组织病理学检查及随后的免疫组化显示为卡波西肉瘤。

结论

卡波西肉瘤在诊断和治疗方面都是一种具有挑战性的疾病。确定正确诊断的唯一可靠方法是用抗HHV8抗体进行免疫组化染色。尽管有广泛的系统和局部治疗选择,但对于卡波西肉瘤的治疗仍没有统一的算法和策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10ae/6182508/9291e1ad1928/OAMJMS-6-1688-g001.jpg

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