Department of Life Sciences, Bahia State University, Salvador, Bahia, Brazil.
Health Sciences School, Salvador University, Laureate International Universities, Salvador, Bahia, Brazil.
APMIS. 2020 Feb;128(2):121-128. doi: 10.1111/apm.13020. Epub 2020 Jan 28.
HIV+ persons have a significantly increased risk of cancer when compared to the general population. The excess cancer risk observed during HIV infection is particularly higher for infection-related malignancies. Mechanisms underlying this remain unclear, but both HIV-related and HIV-unrelated factors have been postulated to play a role. Here, we (i) review newly published data on cancer burden in the setting of HIV infection with a focus on HIV-related risk factors for cancer; (ii) discuss emerging data on cancer among HIV+ persons living in low- and middle-income countries; and (iii) review guideline recommendations for cancer screening among HIV+ persons and discuss ongoing studies investigating strategies for cancer screening among HIV+ patients.
与普通人群相比,HIV 感染者罹患癌症的风险显著增加。在 HIV 感染期间观察到的癌症风险过高,尤其是与感染相关的恶性肿瘤。其潜在机制尚不清楚,但已推测 HIV 相关和非 HIV 相关因素都可能发挥作用。在这里,我们(i)审查了 HIV 感染背景下癌症负担的最新发表数据,重点是与癌症相关的 HIV 危险因素;(ii)讨论了在中低收入国家 HIV 感染者中癌症的新出现数据;(iii)审查了 HIV 感染者癌症筛查的指南建议,并讨论了正在进行的研究,以调查 HIV 患者癌症筛查策略。