Head and Neck Lymphomas in HIV Patients: a Clinical Perspective

AUTOR(ES)

Oishi, Natsuki, Bagán, José Vicente, Javier, Karla, Zapater, Enrique

FONTE

Int. Arch. Otorhinolaryngol.

DATA DE PUBLICAÇÃO

2017-10

RESUMO

Abstract Introduction Because of the many HIV-related malignancies, the diagnosis and treatment of lymphoma in patients infected with human immunodeficiency virus are challenging. Objective Here, we review current knowledge of the pathogenesis, epidemiology, symptomatology, diagnosis, and treatment of head and neck lymphomas in HIV patients from a clinical perspective. Data Synthesis Although Hodgkin’s lymphoma is not an AIDS-defining neoplasm, its prevalence is ten times higher in HIV patients than in the general population. NHL is the second most common malignancy in HIV patients, after Kaposi’s sarcoma. In this group of patients, NHL is characterized by rapid progression, frequent extranodal involvement, and a poor outcome. HIV-related salivary gland disease is a benign condition that shares some features with lymphomas and is considered in their differential diagnosis. Conclusion The otolaryngologist may be the first clinician to diagnose head and neck lymphomas. The increasing survival of HIV patients implies clinical and epidemiological changes in the behavior of this disease. Early diagnosis is important to improve the prognosis and avoid the propagation of HIV infection.

Documentos Relacionados

• Antimicrobial prophylaxis for major head and neck surgery in cancer patients: sulbactam-ampicillin versus clindamycin-amikacin.
• Pain in hospitalized HIV-positive patients: clinical and therapeutical issues
• Clinical Profile of Patients with Head and Neck Amyloidosis: A Single-Institution Retrospective Chart Review
• Protease inhibitors and azolic antifungals in HIV patients with histoplasmosis: a clinical pharmacokinetics perspective
• Head and neck melanoma in 534 clinical Stage I patients. A prognostic factors analysis and results of surgical treatment.