Erdinç AYDIN, Volkan AKDOĞAN, Beyhan DEMİRHAN, Levent Naci ÖZLÜOĞLU

Dilde klasik Kaposi sarkomu: Olgu sunumu

Seksen bir yaşındaki erkek hasta dilde iki aydır bü- yüme gösteren, ağrılı lezyon nedeniyle başvurdu. Muayenede, dil orta hattında yaklaşık 1.5x1.5 cm boyutlarında, mor renkli polipoid oluşum saptandı. Boyun muayenesinde ele gelen lenf nodu yoktu. Yeterli emniyet marjini ile eksize edilen lezyonun histopatolojik incelemesi Kaposi sarkomu ile uyumlu bulundu. Klinik ve radyolojik incelemelerde sistemik tutulum saptanmayan hastanın HIV testi negatifti. Hasta tıbbi onkoloji bölümüne sevk edil- di. Bir yıl sonra yapılan fizik muayenesinde lokal nüks saptanmadı

Anahtar Kelimeler:

Kaposi sarkomu/patoloji/cerrahi, dil neoplazileri.

Classic Kaposi's sarcoma of the tongue: a case report

An 81-year-old male patient presented with a painful mass in the tongue that showed a Progressive growth within the past two months. Examination revealed a polypoid mass in the midline of the tongue, purple in color, and 1.5x1.5 cm in size. There was no palpable lymph node on neck examination. An excisional biopsy was performed with adequate surgical margins. The histopathological diagnosis was Kaposi’s sarcoma.Clinical and radiological evaluations did not show any systemic involvement. An HIV test was negative. He was referred to the medical oncology department. No recurrence was detected during a year follow up.

Keywords:

Sarcoma Kaposi’s/pathology/surgery, tongue neoplasms,

PDF

___

Reis-Filho JS, Souto-Moura C, Lopes JM. Classic Kaposi’s sarcoma of the tongue: case report with emphasis on the differential diagnosis. J Oral Maxillofac Surg 2002;60:951-4.
Gnepp DR, Chandler W, Hyams V. Primary Kaposi’s sarcoma of the head and neck. Ann Intern Med 1984; 100:107-14.
Reichart PA, Schiodt M. Non-pigmented oral Kaposi’s sarcoma (AIDS). Report of two cases. Int J Oral Maxillofac Surg 1989;18:197-9.
Lager I, Altini M, Coleman H, Ali H. Oral Kaposi’s sar- coma: a clinicopathologic study from South Africa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:701-10.
Singh B, Har-el G, Lucente FE. Kaposi’s sarcoma of the head and neck in patients with acquired immunodefi- ciency syndrome. Otolaryngol Head Neck Surg 1994; 111:618-24.
Francis HW. Head and neck manifestations of Human immundeficiency virus infections. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schullerb DE. Otolaryngology-head and neck surgery. 3rd ed. St. Louis: Mosby; 1998. p. 289-91.
Chang Y, Cesarman E, Pessin MS, Lee F, Culpepper J, Knowles DM, et al. Identification of herpesvirus-like DNA sequences in AIDS-associated Kaposi’s sarcoma. Science 1994;266:1865-9.
Iscovich J, Boffetta P, Franceschi S, Azizi E, Sarid R. Classic Kaposi sarcoma: epidemiology and risk fac- tors. Cancer 2000;88:500-17.
Mra Z, Chien J. Kaposi’s sarcoma of the tongue. Otolaryngol Head Neck Surg 2000;123(1 Pt 1):151.
Çelik H, Özağaç A, Akın İ. HIV’e bağlı olmayan tonsil Kaposi sarkomu. K.B.B.-BBC Dergisi 2002;10:111-4.