Kaposi's_Sarcoma

Is a tumor caused by a virus referred to as “Human herpesvirus 8

This virus is also referred to as Kaposi’s sarcoma-assoicated virus

Has been indentified in patients and was initially catorigized in 1872

The virus was identified in 1994

Is also seen and is well known in HIV patients

Is a cancer that arises from lymphatic endothelium rather than a true sarcoma

Appears quite similar to a bruise

Transmission occurs by contact and sexual activity

Classifications of Kaposi’s sarcoma

Classic

     -      Affects those from Eastern Europe and Mediterranean descent or region

Endemic

     -      Aggects those from Africa
     -      Not associated with HIV infection
     -      Is more aggressive
     -      Seen often in the lower limbs

Epidemic

     -      Extremely aggressive disease
     -      Found in those with HIV
     -      300 times more common in these patients

Types

1.)    Classic Kaposi Sarcoma

2.)    AIDS-associated Kaposi Sarcoma

3.)    Immunosuppression-associated

4.)    African cutaneous

5.)    African lymphadenopathic

Symptoms

   -    Are nodules or blotches
   -    Typical colors include: black, brown, red, or purpular
   -    Are raised off the skin

Mouth

   -    Affects more than 1/4 of those with AIDS
   -    Can be the first location in 10% or more
   -    Gums and the upper portion of the mouth called the hard plate
   -    Difficulty with eating and speaking is often seen

Skin

   -    Seen often on face
   -    Also seen in lower legs and in the genitalia
   -    Swelling can be seen
   -    Ocassionally a scabing affect may occur
   -    May cause significant physical change to the area affected

Respiratory Tract

   -    Fever
   -    Cough
   -    Coughing blood
   -    Chest pain
   -    Found on X-ray

GI tract

   -    Weight loss
   -    Diarrhea
   -    Difficulty with absorption
   -    Obstruction

Diagnosis

Blood tests are helpful

Treatment

Is not curable where complete remission is seen

However, decrese the progression and mild remission is plausable

Treatment of AIDs can help improve Kaposi’s sarcoma

Radiation Therapy

Cryosurgery

Surgery alone is not typically helpful and can make the affected area worse

Medication

.          Paclitaxel
.          Liposomal anthracycline
.          Interferon alpha

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