一名感染HIV的年轻患者患结肠癌的罕见病例：是否是时候为HIV患者制定新的结肠癌筛查指南了？

A Rare Case of Colon Cancer in a Young Patient With HIV Infection: Is it Time for New Colon Cancer Screening Guidelines for HIV Patients?

作者信息

Aziz Ahmed Ali, Aziz Muhammad Ali, Rashid Muhammad Humayoun, Omar Nosheen, Shah Rehan

机构信息

Internal Medicine, Saint Francis Medical Center, Trenton, USA.

Internal Medicine, Capital Health Regional Medical Center, Trenton, USA.

出版信息

Cureus. 2023 Aug 7;15(8):e43085. doi: 10.7759/cureus.43085. eCollection 2023 Aug.

DOI:10.7759/cureus.43085

PMID:37680434

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10482359/

Abstract

Patients with human immunodeficiency virus (HIV) infection have a higher prevalence of colonic neoplasms than the general population. In these patients, tumors develop at an earlier age, are diagnosed at more advanced stages, and have a dismal prognosis. Current guidelines recommend initiating colon cancer screening in HIV patients at the age of 45 which is consistent with screening age in the general population. We present a rare case of colon cancer diagnosed in an HIV-infected patient at a young age of only 34 years. Therefore, we recommend early screening for colon cancer in HIV patients than the general population.

摘要

感染人类免疫缺陷病毒（HIV）的患者结肠肿瘤的患病率高于普通人群。在这些患者中，肿瘤发病年龄更早，确诊时病情更晚，预后较差。目前的指南建议HIV患者在45岁时开始进行结肠癌筛查，这与普通人群的筛查年龄一致。我们报告了一例罕见的仅34岁的年轻HIV感染患者被诊断为结肠癌的病例。因此，我们建议HIV患者比普通人群更早进行结肠癌筛查。