Coulaud J P
Bull Soc Pathol Exot Filiales. 1984;77(4 Pt 2):599-603.
To conclude, no completely satisfactory form of therapy is available at the moment. Combinations are always desirable: either radiotherapy and chemotherapy or interferon and monochemotherapy. However, the choice of therapeutic schedules depends both on the availability of the drugs which is obviously quite different in developing countries including Central Africa, and on the extent of Kaposi's Sarcoma. It is therefore always advisable to carry out a pre-therapeutic examination to assess the extent of the Kaposian lesions. This requires endoscopic, digestive and bronchial examinations and also histological biopsies. The examination should also include a search for the many opportunistic infections which could be associated.
总之,目前尚无完全令人满意的治疗方法。联合治疗总是可取的:放疗与化疗联合,或干扰素与单一化疗联合。然而,治疗方案的选择既取决于药物的可获得性(在包括中非在内的发展中国家,药物可获得性显然差异很大),也取决于卡波西肉瘤的范围。因此,始终建议在治疗前进行检查,以评估卡波西病变的范围。这需要进行内镜检查、消化和支气管检查以及组织活检。检查还应包括寻找可能伴随的多种机会性感染。