Wan Leo, Yan Audrey, O'Doherty Casey, Jiang Xiner, Hardin Rosemarie
Medicine, West Virginia School of Osteopathic Medicine, Lewisburg, USA.
Biochemistry, Stony Brook University, Stony Brook, USA.
Cureus. 2024 Jan 19;16(1):e52553. doi: 10.7759/cureus.52553. eCollection 2024 Jan.
Classic Kaposi sarcoma (CKS), a variant of Kaposi sarcoma (KS), predominantly affects elderly men of Mediterranean and Ashkenazi descent. It is primarily seen in immunocompetent patients, often as cutaneous manifestations in the lower extremities. Treatment of CKS ranges from radiation therapy, chemotherapeutic agents, surgical excision, cryosurgery, and immunotherapy, and the treatment selection is contingent on disease-specific manifestations. This study presents the case of an 83-year-old immunocompetent male of Mediterranean descent, diagnosed with CKS five years ago, exhibiting an onset of painful violaceous papulonodular lesions on the right medial plantar surface and painless papulonodular lesions on the right upper arm and medial thigh. The case highlights the intricacies of CKS diagnosis and management, shedding light on the diverse treatments targeted for lesions across various anatomical locations.
经典型卡波西肉瘤(CKS)是卡波西肉瘤(KS)的一种变体,主要影响地中海和阿什肯纳兹血统的老年男性。它主要见于免疫功能正常的患者,通常表现为下肢的皮肤病变。CKS的治疗方法包括放射治疗、化疗药物、手术切除、冷冻手术和免疫治疗,治疗选择取决于疾病的具体表现。本研究报告了一例83岁免疫功能正常的地中海血统男性病例,该患者于五年前被诊断为CKS,其右足底内侧出现疼痛性紫蓝色丘疹结节性病变,右上臂和大腿内侧出现无痛性丘疹结节性病变。该病例突出了CKS诊断和管理的复杂性,揭示了针对不同解剖部位病变的多种治疗方法。