The Response of HIV-Associated Lymphadenopathic Kaposi Sarcoma to Highly Active Antiretroviral Therapy Evaluated by 18F-FDG PET/CT

被引:7
作者
Mankia, Satveer K.
Miller, Robert F. [2 ]
Edwards, Simon G. [3 ]
Ramsay, Alan [4 ]
Lee, Siow Ming [1 ]
机构
[1] Univ Coll London Hosp, Dept Oncol, London NW1 2PG, England
[2] UCL, Res Dept Infect & Populat Hlth, Ctr Sexual Hlth & HIV Res, London, England
[3] Camden Provider Serv, Mortimer Market Ctr, Dept Genitourinary Med, London, England
[4] UCL, Dept Histopathol, London, England
关键词
Kaposi sarcoma; HIV; human herpes virus-8; PET/CT; HAART; chemotherapy; ERA;
D O I
10.1097/RLU.0b013e3182485261
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The use of PET/CT for determining systemic Kaposi sarcoma (KS) involvement and treatment response remains to be formally assessed. Pretreatment human herpes virus-8 (HHV-8) viral load may predict clinical response of KS to therapy; however, its role in treatment monitoring and correlation with PET/CT findings is unknown. We report PET/CT findings and HHV-8 viral loads of a 46-year-old man with HIV-associated lymphadenopathic KS. After treatment with highly active antiretroviral therapy, an interval PET/CT showed partial response, despite an undetectable HHV-8 viral load. Chemotherapy was initiated, and the patient achieved a complete clinical, PET/CT, and virological response. PET/CT enabled monitoring of treatment response and led to changes in management.
引用
收藏
页码:692 / 693
页数:2
相关论文
共 8 条
  • [1] 18F-Fluorodeoxyglucose positron emission tomography/computed tomography findings in a patient with human immunodeficiency virus-associated Castleman's disease and Kaposi sarcoma, disorders associated with human herpes virus 8 infection
    Bertagna, Francesco
    Biasiotto, Giorgio
    Rodella, Rosita
    Giubbini, Raffaele
    Alavi, Abass
    [J]. JAPANESE JOURNAL OF RADIOLOGY, 2010, 28 (03) : 231 - 234
  • [2] Evaluation of Plasma Human Herpesvirus 8 DNA as a Marker of Clinical Outcomes during Antiretroviral Therapy for AIDS-Related Kaposi Sarcoma in Zimbabwe
    Borok, Margaret
    Fiorillo, Suzanne
    Gudza, Ivy
    Putnam, Beverly
    Ndemera, Buxton
    White, Irene E.
    Gwanzura, Lovemore
    Schooley, Robert T.
    Campbell, Thomas B.
    [J]. CLINICAL INFECTIOUS DISEASES, 2010, 51 (03) : 342 - 349
  • [3] British HIV Association guidelines for HIV-associated malignancies 2008
    Bower, M.
    Collins, S.
    Cottrill, C.
    Cwynarski, K.
    Montoto, S.
    Nelson, M.
    Nwokolo, N.
    Powles, T.
    Stebbing, J.
    Wales, N.
    Webb, A.
    [J]. HIV MEDICINE, 2008, 9 (06) : 336 - 388
  • [4] El Amari EB, 2008, AIDS, V22, P1019, DOI 10.1097/QAD.0b013e3282fc9c03
  • [5] Profile of patients with Kaposi's sarcoma in the era of highly active antiretroviral therapy
    Gallafent, JH
    Buskin, SE
    De Turk, PB
    Aboulafia, DM
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (06) : 1253 - 1260
  • [6] Highly active antiretroviral therapy in AIDS-associated Kaposi's sarcoma: Implications for the design of therapeutic trials in patients with advanced, symptomatic Kaposi's sarcoma
    Krown, SE
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (03) : 399 - 402
  • [7] Whole-body 18F-fluorodeoxyglucose positron emission tomography/computed tomography images before and after chemotherapy for Kaposi sarcoma and highly active antiretrovirus therapy
    Morooka, Miyako
    Ito, Kimiteru
    Kubota, Kazuo
    Minamimoto, Ryogo
    Shida, Yoshitaka
    Hasuo, Kanehiro
    Ito, Tateki
    Tasato, Daisuke
    Honda, Haruhito
    Teruya, Katsuji
    Kikuchi, Yoshimi
    Ohtomo, Kuni
    [J]. JAPANESE JOURNAL OF RADIOLOGY, 2010, 28 (10) : 759 - 762
  • [8] Imaging of HIV-Associated Kaposi Sarcoma; F-18-FDG-PET/CT and In-111-Bevacizumabscintigraphy
    van de Luijtgaarden, Addy
    van der Ven, Andre
    Leenders, William
    Kaal, Suzanne
    Flucke, Uta
    Oyen, Wim
    van der Graaf, Winette
    [J]. JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2010, 54 (04) : 444 - 446