Systemic treatment of AIDS-related Kaposi sarcoma: Current status and perspectives

Kaposi’s sarcoma (KS) is the most frequent type of cancer in patients with Acquired Immune Deficiency Syndrome (AIDS). In the western world, its incidence decreased dramatically in the era of highly active anti-retroviral therapy (HAART). In contrast, the incidence of KS has been steadily climbing i...

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Vydáno v:	Cancer treatment reviews Ročník 32; číslo 6; s. 445 - 455
Hlavní autoři:	Vanni, Tazio, Sprinz, Eduardo, Machado, Marcelo Warlet, Santana, Rodrigo de C., Fonseca, Benedito Antonio L., Schwartsmann, Gilberto
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Netherlands Elsevier Ltd 01.10.2006
Témata:	Acquired Immunodeficiency Syndrome - complications Acquired Immunodeficiency Syndrome - drug therapy Adult AIDS Anthracyclines - administration & dosage Antineoplastic Combined Chemotherapy Protocols Antiretroviral Therapy, Highly Active Antiviral Agents - therapeutic use Clinical Trials as Topic Human immunodeficiency virus Humans Interferons - therapeutic use Kaposi’s Sarcoma Liposomes Male Paclitaxel - administration & dosage Sarcoma, Kaposi - drug therapy Sarcoma, Kaposi - epidemiology Sarcoma, Kaposi - virology Treatment Kaposi’s Sarcoma AIDS Treatment
ISSN:	0305-7372, 1532-1967
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Popis
Shrnutí:	Kaposi’s sarcoma (KS) is the most frequent type of cancer in patients with Acquired Immune Deficiency Syndrome (AIDS). In the western world, its incidence decreased dramatically in the era of highly active anti-retroviral therapy (HAART). In contrast, the incidence of KS has been steadily climbing in parallel with the AIDS epidemic in Africa over the past 10–15 years, being the most common cancer in adult men in countries like Uganda and Zimbabwe. AIDS–KS can be diagnosed at any stage of HIV infection, although it more commonly occurs in the setting of severe immune suppression, especially with an elevated viral load. Up to now, AIDS–KS is still an incurable disease. Its clinical course is variable, ranging from very indolent cases, requiring no or minimal therapy, to a rapidly progressive disease. Various local therapies are available to control small and asymptomatic lesions, while cytotoxic, immunological and biological therapies can be considered for more aggressive disease. The primary goal of therapy in most of the cases is to provide safe and effective palliation, in order to quality of life. Optimal anti-retroviral therapy is a key component of AIDS–KS management. There are still many questions to be answered in the management of patients with AIDS–KS, such as (1) What are the therapeutic agents that should be used in this disease, and in which sequence? and (2) What are the benefits and risks expected with each treatment option? The aim of this review is to discuss the systemic management of AIDS–KS, with special focus on the above mentioned questions.
Bibliografie:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 ObjectType-Article-1 ObjectType-Feature-2 ObjectType-Review-3
ISSN:	0305-7372 1532-1967
DOI:	10.1016/j.ctrv.2006.06.001