Department of Radiology, Alfred Health, Melbourne, Victoria, Australia.
Department of Anatomical Pathology, Alfred Health, Melbourne, Victoria, Australia.
J Med Imaging Radiat Oncol. 2021 Feb;65(1):86-88. doi: 10.1111/1754-9485.13112. Epub 2020 Oct 14.
Kaposi Sarcoma (KS), a mucocutaneous cancer that most frequently occurs in the context of Acquired Immunodeficiency Syndrome (AIDS) secondary to Human Immunodeficiency Virus (HIV), is a relatively benign condition, acting more as a marker of immunodeficiency than directly causing harm itself. However, it has been known to spread both locally and in a metastatic fashion, with reports of KS affecting almost all organ systems. One of the most rarely reported areas of involvement is the musculoskeletal system, with secondary osseous spread representing an even smaller subset of these. We report a case of biopsy proven disseminated intraosseous KS involving the entire imaged skeleton that occurred with HIV/AIDS, despite maximal treatment and normal imaging 8 months prior.
卡波西肉瘤(KS)是一种黏膜皮肤癌,最常发生于人类免疫缺陷病毒(HIV)导致的获得性免疫缺陷综合征(AIDS)背景下,属于一种相对良性的疾病,其主要作用是作为免疫缺陷的标志物,而不是直接造成损害。然而,它确实具有局部和转移性播散的能力,已有报告称 KS 可影响几乎所有的器官系统。受累的骨骼肌肉系统是报道较少的部位之一,继发性骨播散则是更为少见的一部分。我们报告了一例经活检证实的弥漫性骨内 KS 病例,该病例累及整个影像学可见的骨骼,尽管在 8 个月前进行了最大程度的治疗和正常的影像学检查,患者仍患有 HIV/AIDS。