Gehanno P, Uguen A, Saimot A G, Leplus P, Moisy N, Depondt J, Guedon C
Service d'Oto-Rhino-Laryngologie, Hôpital Bichat, Paris.
Ann Otolaryngol Chir Cervicofac. 1988;105(6):453-7.
The authors present a series of 51 cases of buccopharyngeal Kaposi's sarcoma observed in patients with AIDS. The diagnosis of Kaposi's sarcoma is generally obvious due to its appearance, its constantly violaceous colour and its site, especially palatine and velar. When Kaposi's sarcoma is the first manifestation of the disease, it appears to be associated with a relatively favourable pejorative connotation when the nevertheless extremely modest median survival of these patients is compared with that of patients who initially presented with an opportunistic infection not associated with Kaposi's sarcoma. Buccopharyngeal Kaposi's sarcoma is usually only an epiphenomenon. It is rare that the local course requires any tumour reduction treatment. When such treatment is required, radiotherapy with 35 Gys is currently considered to be the best solution.
作者报告了在艾滋病患者中观察到的51例颊咽卡波西肉瘤病例。卡波西肉瘤的诊断通常因其外观、持续的紫罗兰色以及部位(尤其是腭部和软腭)而明显。当卡波西肉瘤是该疾病的首发表现时,与最初出现与卡波西肉瘤无关的机会性感染的患者相比,尽管这些患者的中位生存期极低,但卡波西肉瘤似乎与相对较好的预后相关。颊咽卡波西肉瘤通常只是一种附带现象。局部病程很少需要进行任何肿瘤缩小治疗。当需要这种治疗时,目前认为35戈瑞的放射治疗是最佳解决方案。