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一名中年包皮环切的HIV阴性患者的原发性经典阴茎卡波西肉瘤：罕见病例报告

Primary Classic Penile Kaposi's Sarcoma in a Middle Age Circumcised HIV-Negative Patient: Presentation of an Unusual Case.

作者信息

Ergul Rifat Burak, Ortac Mazhar, Tonyali Senol, Pehlivan Gizem, Sari Sule Ozturk, Hurdogan Ozge, Kadioglu Ates

机构信息

Department of Urology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Türkiye.

Department of Dermatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Türkiye.

出版信息

Sisli Etfal Hastan Tıp Bul. 2024 Jun 28;58(2):241-243. doi: 10.14744/SEMB.2023.46034. eCollection 2024.

DOI:10.14744/SEMB.2023.46034
PMID:39021691
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11249993/
Abstract

Kaposi's sarcoma should be considered in the differential diagnosis in young patients with penile lesions and no risk factors. A 37-year-old heterosexual man with no other medical history applied presented with a non-itchy and painless penile lesion, for three months. The HIV 1-2 serology was negative via ELISA test. Histopathological analysis of the lesion revealed a tumor composed of atypical spindle cells, below a partially ulcerated surface. There was also an abundance of plasma cells admixed within the neoplastic cells. The patient was diagnosed as HIV-negative, HHV-8 positive Kaposi sarcoma. Although penile Kaposi sarcoma is extremely rare, classical Kaposi sarcoma should be considered in the differential diagnosis of penile lesions.

摘要

对于无危险因素的阴茎病变年轻患者，鉴别诊断时应考虑卡波西肉瘤。一名37岁无其他病史的异性恋男性，出现无痛无痒的阴茎病变3个月。酶联免疫吸附测定（ELISA）检测显示HIV 1-2血清学阴性。病变的组织病理学分析显示，在部分溃疡表面下方有一个由非典型梭形细胞组成的肿瘤。肿瘤细胞内还混有大量浆细胞。该患者被诊断为HIV阴性、HHV-8阳性的卡波西肉瘤。尽管阴茎卡波西肉瘤极为罕见，但在阴茎病变的鉴别诊断中应考虑经典型卡波西肉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f0/11249993/40c21aff359b/SEMB-58-241-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f0/11249993/d55239132f1c/SEMB-58-241-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f0/11249993/40c21aff359b/SEMB-58-241-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f0/11249993/d55239132f1c/SEMB-58-241-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f0/11249993/40c21aff359b/SEMB-58-241-g002.jpg

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本文引用的文献

1
Primary penile Kaposi's sarcoma in HIV-seronegative patient: a case report and literature review.HIV血清阴性患者的原发性阴茎卡波西肉瘤：一例报告及文献综述
Int Braz J Urol. 2020 Sep-Oct;46(5):825-842. doi: 10.1590/S1677-5538.IBJU.2020.05.03.
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Atypical presentation of classic Kaposi sarcoma in circumcised penis presenting as an ulcerative nodule with human herpesvirus 8 (HHV8) positivity and successfully treated with only local excision.经典型卡波西肉瘤在包皮环切阴茎上的非典型表现，呈现为溃疡性结节，人疱疹病毒8（HHV8）阳性，仅通过局部切除成功治愈。
Infect Agent Cancer. 2019 Dec 2;14:45. doi: 10.1186/s13027-019-0261-6. eCollection 2019.
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Patient presentation, differential diagnosis, and management of penile lesions.
阴茎病变的患者表现、鉴别诊断及处理
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Kaposi sarcoma.卡波西肉瘤。
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J Eur Acad Dermatol Venereol. 2003 May;17(3):320-3. doi: 10.1046/j.1468-3083.2003.00747.x.
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Update on Kaposi's sarcoma and other HHV8 associated diseases. Part 1: epidemiology, environmental predispositions, clinical manifestations, and therapy.卡波西肉瘤及其他与人类疱疹病毒8型相关疾病的最新进展。第1部分：流行病学、环境易感性、临床表现及治疗
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A case of classical Kaposi's sarcoma of the penis showing a good response to high-energy pulsed carbon dioxide laser therapy.
J Dermatol. 1999 Apr;26(4):240-3. doi: 10.1111/j.1346-8138.1999.tb03464.x.
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Herpesvirus-like DNA sequences detected in endemic, classic, iatrogenic and epidemic Kaposi's sarcoma (KS) biopsies.
Int J Cancer. 1996 Jan 3;65(1):25-8. doi: 10.1002/(SICI)1097-0215(19960103)65:1<25::AID-IJC5>3.0.CO;2-3.