Lymphedematous HIV-associated Kaposi's sarcoma.
Identifieur interne : 003927 ( PubMed/Curation ); précédent : 003926; suivant : 003928Lymphedematous HIV-associated Kaposi's sarcoma.
Auteurs : Pratistadevi K. Ramdial [Afrique du Sud] ; Runjan Chetty ; Bhugwan Singh ; Rajendrakumar Singh ; Jamila AboobakerSource :
- Journal of cutaneous pathology [ 0303-6987 ] ; 2006.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Biopsie, Femelle, Fibrome (), Fibrome (anatomopathologie), Humains, Lymphoedème (anatomopathologie), Lymphoedème (étiologie), Maladie chronique, Mâle, Sarcome de Kaposi (), Sarcome de Kaposi (anatomopathologie), Syndrome d'immunodéficience acquise (), Syndrome d'immunodéficience acquise (anatomopathologie), Tumeurs cutanées (), Tumeurs cutanées (anatomopathologie), VIH (Virus de l'Immunodéficience Humaine) (pathogénicité), VIH (Virus de l'Immunodéficience Humaine) (physiologie), Études prospectives.
- MESH :
- anatomopathologie : Fibrome, Lymphoedème, Sarcome de Kaposi, Syndrome d'immunodéficience acquise, Tumeurs cutanées.
- pathogénicité : VIH (Virus de l'Immunodéficience Humaine).
- physiologie : VIH (Virus de l'Immunodéficience Humaine).
- étiologie : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Biopsie, Femelle, Fibrome, Humains, Maladie chronique, Mâle, Sarcome de Kaposi, Syndrome d'immunodéficience acquise, Tumeurs cutanées, Études prospectives.
English descriptors
- KwdEn :
- Acquired Immunodeficiency Syndrome (complications), Acquired Immunodeficiency Syndrome (pathology), Adolescent, Adult, Biopsy, Chronic Disease, Female, Fibroma (complications), Fibroma (pathology), HIV (pathogenicity), HIV (physiology), Humans, Lymphedema (etiology), Lymphedema (pathology), Male, Middle Aged, Prospective Studies, Sarcoma, Kaposi (complications), Sarcoma, Kaposi (pathology), Skin Neoplasms (complications), Skin Neoplasms (pathology).
- MESH :
- complications : Acquired Immunodeficiency Syndrome, Fibroma, Sarcoma, Kaposi, Skin Neoplasms.
- etiology : Lymphedema.
- pathogenicity : HIV.
- pathology : Acquired Immunodeficiency Syndrome, Fibroma, Lymphedema, Sarcoma, Kaposi, Skin Neoplasms.
- physiology : HIV.
- Adolescent, Adult, Biopsy, Chronic Disease, Female, Humans, Male, Middle Aged, Prospective Studies.
Abstract
Advanced Kaposi's sarcoma is frequently associated with chronic lymphedema (cLO). The histopathological features of lymphedematous HIV-associated KS (KS) are poorly documented and the co-existence of fibroma-like nodules in lymphedematous KS is under-recognized. The aims of this study were to assess the clinicopathological spectrum and diagnostic difficulties associated with lymphedematous KS and to highlight the clinicopathological profile of fibroma-like nodules. In addition, the pathogenesis of fibroma-like nodules and cLO is revisited.
DOI: 10.1111/j.1600-0560.2006.00352.x
PubMed: 16872469
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pubmed:16872469Le document en format XML
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<author><name sortKey="Ramdial, Pratistadevi K" sort="Ramdial, Pratistadevi K" uniqKey="Ramdial P" first="Pratistadevi K" last="Ramdial">Pratistadevi K. Ramdial</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Anatomical Pathology, Nelson R Mandela School of Medicine, Durban, South Africa. ramdial@ukzn.ac.za</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Anatomical Pathology, Nelson R Mandela School of Medicine, Durban</wicri:regionArea>
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<author><name sortKey="Chetty, Runjan" sort="Chetty, Runjan" uniqKey="Chetty R" first="Runjan" last="Chetty">Runjan Chetty</name>
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<series><title level="j">Journal of cutaneous pathology</title>
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<term>Acquired Immunodeficiency Syndrome (pathology)</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Biopsy</term>
<term>Chronic Disease</term>
<term>Female</term>
<term>Fibroma (complications)</term>
<term>Fibroma (pathology)</term>
<term>HIV (pathogenicity)</term>
<term>HIV (physiology)</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Sarcoma, Kaposi (complications)</term>
<term>Sarcoma, Kaposi (pathology)</term>
<term>Skin Neoplasms (complications)</term>
<term>Skin Neoplasms (pathology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biopsie</term>
<term>Femelle</term>
<term>Fibrome ()</term>
<term>Fibrome (anatomopathologie)</term>
<term>Humains</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Maladie chronique</term>
<term>Mâle</term>
<term>Sarcome de Kaposi ()</term>
<term>Sarcome de Kaposi (anatomopathologie)</term>
<term>Syndrome d'immunodéficience acquise ()</term>
<term>Syndrome d'immunodéficience acquise (anatomopathologie)</term>
<term>Tumeurs cutanées ()</term>
<term>Tumeurs cutanées (anatomopathologie)</term>
<term>VIH (Virus de l'Immunodéficience Humaine) (pathogénicité)</term>
<term>VIH (Virus de l'Immunodéficience Humaine) (physiologie)</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Fibrome</term>
<term>Lymphoedème</term>
<term>Sarcome de Kaposi</term>
<term>Syndrome d'immunodéficience acquise</term>
<term>Tumeurs cutanées</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term>
<term>Fibroma</term>
<term>Sarcoma, Kaposi</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogenicity" xml:lang="en"><term>HIV</term>
</keywords>
<keywords scheme="MESH" qualifier="pathogénicité" xml:lang="fr"><term>VIH (Virus de l'Immunodéficience Humaine)</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term>
<term>Fibroma</term>
<term>Lymphedema</term>
<term>Sarcoma, Kaposi</term>
<term>Skin Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>VIH (Virus de l'Immunodéficience Humaine)</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>HIV</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Biopsy</term>
<term>Chronic Disease</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Biopsie</term>
<term>Femelle</term>
<term>Fibrome</term>
<term>Humains</term>
<term>Maladie chronique</term>
<term>Mâle</term>
<term>Sarcome de Kaposi</term>
<term>Syndrome d'immunodéficience acquise</term>
<term>Tumeurs cutanées</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">Advanced Kaposi's sarcoma is frequently associated with chronic lymphedema (cLO). The histopathological features of lymphedematous HIV-associated KS (KS) are poorly documented and the co-existence of fibroma-like nodules in lymphedematous KS is under-recognized. The aims of this study were to assess the clinicopathological spectrum and diagnostic difficulties associated with lymphedematous KS and to highlight the clinicopathological profile of fibroma-like nodules. In addition, the pathogenesis of fibroma-like nodules and cLO is revisited.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16872469</PMID>
<DateCreated><Year>2006</Year>
<Month>07</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted><Year>2006</Year>
<Month>09</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised><Year>2006</Year>
<Month>07</Month>
<Day>28</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0303-6987</ISSN>
<JournalIssue CitedMedium="Print"><Volume>33</Volume>
<Issue>7</Issue>
<PubDate><Year>2006</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Journal of cutaneous pathology</Title>
<ISOAbbreviation>J. Cutan. Pathol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Lymphedematous HIV-associated Kaposi's sarcoma.</ArticleTitle>
<Pagination><MedlinePgn>474-81</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Advanced Kaposi's sarcoma is frequently associated with chronic lymphedema (cLO). The histopathological features of lymphedematous HIV-associated KS (KS) are poorly documented and the co-existence of fibroma-like nodules in lymphedematous KS is under-recognized. The aims of this study were to assess the clinicopathological spectrum and diagnostic difficulties associated with lymphedematous KS and to highlight the clinicopathological profile of fibroma-like nodules. In addition, the pathogenesis of fibroma-like nodules and cLO is revisited.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Prospective 17-month clinicopathological study of all biopsies from patients with lymphedematous KS.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Seventy-four biopsies, the majority from the lower limbs, from 41 patients were evaluated. Nineteen, 14, five and three patients had one, two, three or four biopsies each, respectively. In 14 biopsies, there was poor clinicopathological correlation of KS stage. Exclusive lesional KS (patch, plaque, nodule or lymphangioma-like) was identified in 29 biopsies; 23 and eight biopsies demonstrated KS or fibroma-like morphology and the adjacent dermis demonstrated cLO. There was variable intratumoral and peritumoral venous compression and lymphatic dilatation. Fourteen biopsies demonstrated cLO exclusively. Smaller fibroma-like nodules lacked KS spindle cells, whereas >5 mm nodules demonstrated focal KS spindle cell proliferation and aggregation on extensive sectioning. The subcutis of 42 biopsies demonstrated variable fibrosis, hemosiderin deposits, lymphocytes, plasma cells, KS, interstitial granular material and pools of lymph fluid. Subcutaneous abscesses were identified in six biopsies. All biopsies had variable epidermal features of cLO.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">cLO influences clinicopathological correlation of KS stage and may also mask the presence of KS and the co-existence of subcutaneous abscesses. Smaller fibroma-like nodules are hypothesized to be a manifestation of cLO that have the potential to acquire the characteristics of KS. Lymphatic and venous obstruction, protein-rich interstitial fluid, tissue hemosiderin and subcutaneous infection are hypothesized to play a combined role in the evolution and perpetuation of cLO.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ramdial</LastName>
<ForeName>Pratistadevi K</ForeName>
<Initials>PK</Initials>
<AffiliationInfo><Affiliation>Department of Anatomical Pathology, Nelson R Mandela School of Medicine, Durban, South Africa. ramdial@ukzn.ac.za</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chetty</LastName>
<ForeName>Runjan</ForeName>
<Initials>R</Initials>
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<Author ValidYN="Y"><LastName>Singh</LastName>
<ForeName>Bhugwan</ForeName>
<Initials>B</Initials>
</Author>
<Author ValidYN="Y"><LastName>Singh</LastName>
<ForeName>Rajendrakumar</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Aboobaker</LastName>
<ForeName>Jamila</ForeName>
<Initials>J</Initials>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Cutan Pathol</MedlineTA>
<NlmUniqueID>0425124</NlmUniqueID>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000163" MajorTopicYN="N">Acquired Immunodeficiency Syndrome</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D001706" MajorTopicYN="N">Biopsy</DescriptorName>
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<MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005350" MajorTopicYN="N">Fibroma</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006678" MajorTopicYN="N">HIV</DescriptorName>
<QualifierName UI="Q000472" MajorTopicYN="N">pathogenicity</QualifierName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012514" MajorTopicYN="N">Sarcoma, Kaposi</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012878" MajorTopicYN="N">Skin Neoplasms</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
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