Classic Kaposi’s sarcoma - complete response to radiation therapy: a case report
Identifieur interne : 008994 ( Ncbi/Merge ); précédent : 008993; suivant : 008995Classic Kaposi’s sarcoma - complete response to radiation therapy: a case report
Auteurs : Kennet Ramírez [Mexique] ; José Zavala [Mexique] ; David Morán [Mexique] ; Diana Hernández [Mexique] ; Alberto Jiménez [Mexique]Source :
- Journal of Medical Case Reports [ 1752-1947 ] ; 2016.
Abstract
Classic Kaposi’s sarcoma is a lymphatic endothelial cell neoplasm usually present on the skin of the upper and lower extremities. Although it commonly affects human immunodeficiency virus positive patients, there have been some human immunodeficiency virus negative cases reported. We report an uncommon presentation of stage IV classic Kaposi’s sarcoma in an human immunodeficiency virus negative patient in Latin America with complete clinical response using only radiation therapy treatment.
A 78-year-old Mexican man with no evidence of human immunodeficiency virus infection presented with a painful widespread dermatosis with maculopapular, nodular, violaceous lesions on his legs and ulcerated lesions on his feet. A biopsy confirmed the lesions as classic Kaposi’s sarcoma. Radiotherapy treatment was delivered, prescribing a total dose of 30 Gy in 15 fractions with a complete clinical response within 15 months of follow-up.
This is an unusual case since it is uncommon to use radiation therapy as the single treatment in stage IV classic Kaposi’s sarcoma; the efficacy of the treatment is shown in the impact in our patient’s recurrence-free survival, local control, and palliation of our patient’s symptoms.
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DOI: 10.1186/s13256-016-1101-6
PubMed: 27832802
PubMed Central: 5105307
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Código Postal, 24096 Campeche, México</nlm:aff><country xml:lang="fr" wicri:curation="lc">Mexique</country><wicri:regionArea>Departments of Radiation Oncology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. Código Postal, 24096 Campeche</wicri:regionArea><wicri:noRegion>24096 Campeche</wicri:noRegion></affiliation></author><author><name sortKey="Zavala, Jose" sort="Zavala, Jose" uniqKey="Zavala J" first="José" last="Zavala">José Zavala</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Departments of Radiation Oncology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. Código Postal, 24096 Campeche, México</nlm:aff><country xml:lang="fr" wicri:curation="lc">Mexique</country><wicri:regionArea>Departments of Radiation Oncology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. 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Código Postal, 24096 Campeche</wicri:regionArea><wicri:noRegion>24096 Campeche</wicri:noRegion></affiliation></author><author><name sortKey="Hernandez, Diana" sort="Hernandez, Diana" uniqKey="Hernandez D" first="Diana" last="Hernández">Diana Hernández</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Departments of Radiation Oncology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. Código Postal, 24096 Campeche, México</nlm:aff><country xml:lang="fr" wicri:curation="lc">Mexique</country><wicri:regionArea>Departments of Radiation Oncology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. Código Postal, 24096 Campeche</wicri:regionArea><wicri:noRegion>24096 Campeche</wicri:noRegion></affiliation></author><author><name sortKey="Jimenez, Alberto" sort="Jimenez, Alberto" uniqKey="Jimenez A" first="Alberto" last="Jiménez">Alberto Jiménez</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Departments of Radiation Oncology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. Código Postal, 24096 Campeche, México</nlm:aff><country xml:lang="fr" wicri:curation="lc">Mexique</country><wicri:regionArea>Departments of Radiation Oncology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. Código Postal, 24096 Campeche</wicri:regionArea><wicri:noRegion>24096 Campeche</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Medical Case Reports</title><idno type="eISSN">1752-1947</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Classic Kaposi’s sarcoma is a lymphatic endothelial cell neoplasm usually present on the skin of the upper and lower extremities. Although it commonly affects human immunodeficiency virus positive patients, there have been some human immunodeficiency virus negative cases reported. We report an uncommon presentation of stage IV classic Kaposi’s sarcoma in an human immunodeficiency virus negative patient in Latin America with complete clinical response using only radiation therapy treatment.</p></sec><sec><title>Case presentation</title><p>A 78-year-old Mexican man with no evidence of human immunodeficiency virus infection presented with a painful widespread dermatosis with maculopapular, nodular, violaceous lesions on his legs and ulcerated lesions on his feet. A biopsy confirmed the lesions as classic Kaposi’s sarcoma. Radiotherapy treatment was delivered, prescribing a total dose of 30 Gy in 15 fractions with a complete clinical response within 15 months of follow-up.</p></sec><sec><title>Conclusions</title><p>This is an unusual case since it is uncommon to use radiation therapy as the single treatment in stage IV classic Kaposi’s sarcoma; the efficacy of the treatment is shown in the impact in our patient’s recurrence-free survival, local control, and palliation of our patient’s symptoms.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Szajerka, T" uniqKey="Szajerka T">T Szajerka</name></author><author><name sortKey="Jablecki, J" uniqKey="Jablecki J">J Jablecki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sullivan, Rj" uniqKey="Sullivan R">RJ Sullivan</name></author><author><name sortKey="Pantanowitz, L" uniqKey="Pantanowitz L">L Pantanowitz</name></author><author><name sortKey="Casper, C" uniqKey="Casper C">C Casper</name></author><author><name sortKey="Stebbing, J" uniqKey="Stebbing J">J Stebbing</name></author><author><name sortKey="Dezube, Bj" uniqKey="Dezube B">BJ Dezube</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Antman, K" uniqKey="Antman K">K Antman</name></author><author><name sortKey="Chang, Y" uniqKey="Chang Y">Y Chang</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Iscovich, J" uniqKey="Iscovich J">J Iscovich</name></author><author><name sortKey="Boffetta, P" uniqKey="Boffetta P">P Boffetta</name></author><author><name sortKey="Winkelmann, R" uniqKey="Winkelmann R">R Winkelmann</name></author><author><name sortKey="Brennan, P" uniqKey="Brennan P">P Brennan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brambilla, L" uniqKey="Brambilla L">L Brambilla</name></author><author><name sortKey="Boneschi, V" uniqKey="Boneschi V">V Boneschi</name></author><author><name sortKey="Taglioni, M" uniqKey="Taglioni M">M Taglioni</name></author><author><name sortKey="Ferrucci, S" uniqKey="Ferrucci S">S Ferrucci</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cooper, Js" uniqKey="Cooper J">JS Cooper</name></author><author><name sortKey="Steinfeld, Ad" uniqKey="Steinfeld A">AD Steinfeld</name></author><author><name sortKey="Lerch, I" uniqKey="Lerch I">I Lerch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Akmansu, M" uniqKey="Akmansu M">M Akmansu</name></author><author><name sortKey="Goksel, F" uniqKey="Goksel F">F Goksel</name></author><author><name sortKey="Erpolat, Op" uniqKey="Erpolat O">OP Erpolat</name></author><author><name sortKey="Unsal, D" uniqKey="Unsal D">D Unsal</name></author><author><name sortKey="Karahacioglu, E" uniqKey="Karahacioglu E">E Karahacioglu</name></author><author><name sortKey="Bora, H" uniqKey="Bora H">H Bora</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nicolini, G" uniqKey="Nicolini G">G Nicolini</name></author><author><name sortKey="Abraham, S" uniqKey="Abraham S">S Abraham</name></author><author><name sortKey="Fogliata, A" uniqKey="Fogliata A">A Fogliata</name></author><author><name sortKey="Jordaan, A" uniqKey="Jordaan A">A Jordaan</name></author><author><name sortKey="Clivio, A" uniqKey="Clivio A">A Clivio</name></author><author><name sortKey="Vanetti, E" uniqKey="Vanetti E">E Vanetti</name></author><author><name sortKey="Cozzi, L" uniqKey="Cozzi L">L Cozzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, Nb" uniqKey="Singh N">NB Singh</name></author><author><name sortKey="Lakier, Rh" uniqKey="Lakier R">RH Lakier</name></author><author><name sortKey="Donde, B" uniqKey="Donde B">B Donde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harrison, M" uniqKey="Harrison M">M Harrison</name></author><author><name sortKey="Harrington, Kj" uniqKey="Harrington K">KJ Harrington</name></author><author><name sortKey="Tomlinson, Dr" uniqKey="Tomlinson D">DR Tomlinson</name></author><author><name sortKey="Stewart, Js" uniqKey="Stewart J">JS Stewart</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">J Med Case Rep</journal-id><journal-title-group><journal-title>Journal of Medical Case Reports</journal-title></journal-title-group><issn pub-type="epub">1752-1947</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27832802</article-id><article-id pub-id-type="pmc">5105307</article-id><article-id pub-id-type="publisher-id">1101</article-id><article-id pub-id-type="doi">10.1186/s13256-016-1101-6</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Classic Kaposi’s sarcoma - complete response to radiation therapy: a case report</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-9506-6341</contrib-id><name><surname>Ramírez</surname><given-names>Kennet</given-names></name><address><email>dr.kennet@hotmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Zavala</surname><given-names>José</given-names></name><address><email>peperzalo@hotmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Morán</surname><given-names>David</given-names></name><address><email>eritro77@hotmail.com</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Hernández</surname><given-names>Diana</given-names></name><address><email>dhbravo@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Jiménez</surname><given-names>Alberto</given-names></name><address><email>alberto_jimenez@live.com.mx</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label>Departments of Radiation Oncology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. Código Postal, 24096 Campeche, México</aff><aff id="Aff2"><label>2</label>Departments of Pathology, State Oncology Center, Avenida Lázaro Cárdenas número 208, esquina antiguo camino a Chiná, sector Las Flores. Código Postal, 24096 Campeche, México</aff></contrib-group><pub-date pub-type="epub"><day>10</day><month>11</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>10</day><month>11</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>10</volume><elocation-id>322</elocation-id><history><date date-type="received"><day>19</day><month>4</month><year>2016</year></date><date date-type="accepted"><day>12</day><month>10</month><year>2016</year></date></history><permissions><copyright-statement>© The Author(s). 2016</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Classic Kaposi’s sarcoma is a lymphatic endothelial cell neoplasm usually present on the skin of the upper and lower extremities. Although it commonly affects human immunodeficiency virus positive patients, there have been some human immunodeficiency virus negative cases reported. We report an uncommon presentation of stage IV classic Kaposi’s sarcoma in an human immunodeficiency virus negative patient in Latin America with complete clinical response using only radiation therapy treatment.</p></sec><sec><title>Case presentation</title><p>A 78-year-old Mexican man with no evidence of human immunodeficiency virus infection presented with a painful widespread dermatosis with maculopapular, nodular, violaceous lesions on his legs and ulcerated lesions on his feet. A biopsy confirmed the lesions as classic Kaposi’s sarcoma. Radiotherapy treatment was delivered, prescribing a total dose of 30 Gy in 15 fractions with a complete clinical response within 15 months of follow-up.</p></sec><sec><title>Conclusions</title><p>This is an unusual case since it is uncommon to use radiation therapy as the single treatment in stage IV classic Kaposi’s sarcoma; the efficacy of the treatment is shown in the impact in our patient’s recurrence-free survival, local control, and palliation of our patient’s symptoms.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Classic Kaposi’s sarcoma</kwd><kwd>Kaposi’s sarcoma</kwd><kwd>Palliative radiotherapy in classic Kaposi’s sarcoma</kwd><kwd>Case report</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Mexique</li></country></list><tree><country name="Mexique"><noRegion><name sortKey="Ramirez, Kennet" sort="Ramirez, Kennet" uniqKey="Ramirez K" first="Kennet" last="Ramírez">Kennet Ramírez</name></noRegion><name sortKey="Hernandez, Diana" sort="Hernandez, Diana" uniqKey="Hernandez D" first="Diana" last="Hernández">Diana Hernández</name><name sortKey="Jimenez, Alberto" sort="Jimenez, Alberto" uniqKey="Jimenez A" first="Alberto" last="Jiménez">Alberto Jiménez</name><name sortKey="Moran, David" sort="Moran, David" uniqKey="Moran D" first="David" last="Morán">David Morán</name><name sortKey="Zavala, Jose" sort="Zavala, Jose" uniqKey="Zavala J" first="José" last="Zavala">José Zavala</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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