Kaposi sarcoma

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Revision as of 17:25, 1 October 2022 by Aidan (talk | contribs) (Created page with "==Background== * A tumour associated with HHV-8 * Closely associated with advanced HIV ===ACTG Staging=== * Based on extent of tumour (T), immune status (I), and severity of systemic illness (S) {| !Criterion !Lower Risk (0) !Higher risk (1) |- |Tumour (T) |Confined to skin and/or lymph nodes and/or minimal oral disease (non-nodular KS confined to palate) |Tumor-associated edema or ulceration; extensive oral KS; gastrointestinal KS; or KS in other non-nodal vis...")
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Background

  • A tumour associated with HHV-8
  • Closely associated with advanced HIV

ACTG Staging

  • Based on extent of tumour (T), immune status (I), and severity of systemic illness (S)
Criterion Lower Risk (0) Higher risk (1)
Tumour (T) Confined to skin and/or lymph nodes and/or minimal oral disease (non-nodular KS confined to palate) Tumor-associated edema or ulceration; extensive oral KS; gastrointestinal KS; or KS in other non-nodal viscera
Immune status (I) CD4 cell count >200/µL CD4 cell count <200/µL
Systemic illness (S) No history of OI or thrush; no "B" symptoms; and Karnofsky performance status >70 History of OI or thrush; "B" symptoms present; Karnofsky performance status <70; or other HIV-related illness (eg, neurologic disease, lymphoma)

References

  1. ^  Guglielmo Nasti, Renato Talamini, Andrea Antinori, Ferdinando Martellotta, Gaia Jacchetti, Francesco Chiodo, Giuseppe Ballardini, Laura Stoppini, Giovanni Di Perri, Maurizio Mena, Marcello Tavio, Emanuela Vaccher, Antonella D’Arminio Monforte, Umberto Tirelli. AIDS-Related Kaposi’s Sarcoma: Evaluation of Potential New Prognostic Factors and Assessment of the AIDS Clinical Trial Group Staging System in the Haart Era—the Italian Cooperative Group on AIDS and Tumors and the Italian Cohort of Patients Naïve From Antiretrovirals. Journal of Clinical Oncology. 2003;21(15):2876-2882. doi:10.1200/jco.2003.10.162.
  2. ^  Justin Stebbing, Adam Sanitt, Mark Nelson, Tom Powles, Brian Gazzard, Mark Bower. A prognostic index for AIDS-associated Kaposi's sarcoma in the era of highly active antiretroviral therapy. The Lancet. 2006;367(9521):1495-1502. doi:10.1016/s0140-6736(06)68649-2.