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 [J].
Bertagna, Francesco ;
Biasiotto, Giorgio ;
Rodella, Rosita ;
Giubbini, Raffaele ;
Alavi, Abass .
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 [J].
Borok, Margaret ;
Fiorillo, Suzanne ;
Gudza, Ivy ;
Putnam, Beverly ;
Ndemera, Buxton ;
White, Irene E. ;
Gwanzura, Lovemore ;
Schooley, Robert T. ;
Campbell, Thomas B. .
CLINICAL INFECTIOUS DISEASES, 2010, 51 (03) :342-349
[3]   British HIV Association guidelines for HIV-associated malignancies 2008 [J].
Bower, M. ;
Collins, S. ;
Cottrill, C. ;
Cwynarski, K. ;
Montoto, S. ;
Nelson, M. ;
Nwokolo, N. ;
Powles, T. ;
Stebbing, J. ;
Wales, N. ;
Webb, A. .
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 [J].
Gallafent, JH ;
Buskin, SE ;
De Turk, PB ;
Aboulafia, DM .
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 [J].
Krown, SE .
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 [J].
Morooka, Miyako ;
Ito, Kimiteru ;
Kubota, Kazuo ;
Minamimoto, Ryogo ;
Shida, Yoshitaka ;
Hasuo, Kanehiro ;
Ito, Tateki ;
Tasato, Daisuke ;
Honda, Haruhito ;
Teruya, Katsuji ;
Kikuchi, Yoshimi ;
Ohtomo, Kuni .
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 [J].
van de Luijtgaarden, Addy ;
van der Ven, Andre ;
Leenders, William ;
Kaal, Suzanne ;
Flucke, Uta ;
Oyen, Wim ;
van der Graaf, Winette .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2010, 54 (04) :444-446