Kaposi Sarkomu ve Myelodisplastik Sendromu Birlikteliği Olan Nadir Bir Olgu
Kaposi sarkomu (KS), human herpes virüs 8 (HHV-8) ile ilişkili anjiyoproliferatif bir hastalıktır. KS’nin klasik, endemik, posttransplant ve epidemik olmak üzere dört çeşidi vardır. Klasik KS erkekleri kadınlardan daha çok etkiler ve bildirilen erkek-kadın oranı yaklaşık 3: 1’dir. KS’nin patch, plak ve nodüler olmak üzere üç histolojik evresi vardır. Miyelodisplastik sendrom (MDS), displaz, inefektif eritropoez ve akut lösemiye dönüşüm ile karakterize, heterojen malign hematopoyetik kök hücre bozukluğudur. Bildiğimiz kadarıyla literatürde 2 tane KS ve MDS birlikteliği olan olgu bildirilmiştir. Bizde takip ettiğimiz KS ve MDS birlikteliği olan bir hastanın tedavisini güncel literatür eşliğinde tartışmak istedik.
Patient with Kaposi Sarcoma and Myelodysplastic Syndrome
Kaposi sarcoma (KS) is an angioproliferative disorder that requires infection with human herpes virus 8 (HHV-8). KS is classified into four types:classic, endemic, posttransplantation and epidemic. Classic Kaposi sarcoma (CKS) affects men more often than women; the reported male to female ratio is approximately 3:1. KS has three histological stages: patch, plaque and nodular. The myelodysplastic syndromes (MDS) comprise a heterogeneous group of malignant hematopoietic stem cell disorders characterized by dysplastic and ineffective blood cell production and a variable risk of transformation to acute leukemia. In literature data, we could cite only two report that described KS and MDS. We aimed to discuss the treatment of a patient with CS and MDS.
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- Gao SJ, Kingsley L, Hoover DR, et al. Seroconversion to antibodies against
Kaposi’s sarcoma-associated herpesvirus-related latent nuclear antigens
before the development of Kaposi’s sarcoma. N Engl J Med. 1996;335:233.
- Iscovich J, Boffetta P, Winkelmann R, et al. Classic Kaposi’s sarcoma in
Jewsliving in Israel, 1961-1989: a population-based incidence study. AIDS.
1998;12:2067.
- Cattani P, Cerimele F, Porta D, et al. Age -specific seroprevalence of Human
Herpesvirus 8 in Mediterranean regions. Clin Microbiol Infect. 2003;9:274.
- MartinRW III, Hood AF, Farmer ER, et al. Kaposi sarcoma. Medicine
(Baltimore). 1993;72:245–261.
- Gilliland GD, Dunbar EC. Myelodysplastic syndromes. In:Blood. Principles
and Practice of Hemathology. Ed:Handin I R et al, second edition, Lippincott
Williams &Wilkins, Philadelphia, 2003; pp355-377.
- Pamuk GE, Aydoğdu E, Turgut B, et al. The simultaneous diagnosis of Kaposi
sarcoma and MDS RAEB-II in a human immuno deficiency virus-negative
patient. Ann Hematol. 2009;88:389–391.
- Tombuloglu M, Keskin A, Tobu M, et al. Kaposi’s sarcoma in the juvenile
myelodysplastic syndrome. Acta Oncol. 1995;34:263-264.
- Hiatt KM, Nelson AM, Lichy JH, et al. Classic Kaposi Sarcoma in the United
States over the last two decades: a clinicopathologic and molecular study
of 438 non-HIV-related Kaposi Sarcoma patients with comparison to HIVrelated
Kaposi Sarcoma. Mod Pathol. 2008;21:572.
- Grayson W, Pantanowitz L. Histological variants of cutaneous Kaposi
sarcoma. Diagn Pathol. 2008;3:31.
- Toschi E, Sgadari C, Monini P, et al. Treatment of Kaposi’s sarcoma—an
update. Anticancer Drugs. 2002;13:977–987.
- Weintraub CM, Skudowitz RB. Excision of 1,674 classic Kaposi’s sarcomas. S
Afr J Surg. 2002;40:80.
- Odom RB, Goette DK. Treatment of cutaneous Kaposi’s sarcoma with
intralesional vincristine. Arch Dermatol. 1978;114:1693.
- Krown SE. AIDS-associated Kaposi’s sarcoma: is there stil a role for interferon
alfa? Cytokine Growth Factor Rev. 2007;18:395.
- Brambilla L, Recalcati S, Tourlaki A. Vinorelbine therapy in classic Kaposi’s
sarcoma: a retrospective study of 20 patients. Eur J Dermatol. 2015;25:535.
- Castiñeiras I, Almagro M, Rodríguez-Lozano J, et al. Disseminated classic
Kaposi’s sarcoma. Two cases with excellent response to pegylated liposomal
doxorubicin. J Dermatolog Treat. 2006;17:377.
- Dogu MH, Sari I, Hacioglu S, et al. Two rare diagnoses during chronic
lymphocytic leukaemia follow-up: Kaposi’s sarcoma and Merkel cell
carcinoma. Scott Med J. 2016;61:60-63.
- Menezes N, Moreira N, Mota G, et al. Kaposi’s sarcoma arising in a patient
with chronic myelomonocytic leukaemia. Acta Med Port. 2010;23:259-262.