Incidence and outcome of Kaposi sarcoma after hematopoietic stem cell transplantation: a retrospective analysis and a review of the literature, ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-08-21

AUTHORS

Simone Cesaro, Gloria Tridello, Steffie van der Werf, Peter Bader, Gerard Sociè, Per Ljungman, Grant McQuaker, Stefano Giardino, Duygu Uckan-Cetinkaya, Achilles Anagnostopoulos, Hakan Ozdogu, Rik Schots, Pavel Jindra, Marco Ladetto, Wilfried Schroyens, Malgorzata Mikulska, Jan Styczynski

ABSTRACT

The incidence, the clinical characteristics, and the outcome of Kaposi sarcoma (KS) in patients after hematopoietic stem cell transplantation (HSCT) were assessed. During the period 1987–2018, 13 cases of KS were diagnosed, 3 females and 10 males, median age of 50 years, median time from HSCT of 7 months. KS had an incidence of 0.17% in allogeneic and 0.05% in autologous HSCT. HHV-8 was documented in eight of nine tumor tissue samples assessed. The organ involvement was: skin in nine, lymph nodes in six, oral cavity in four, and visceral in three patients, respectively; seven patients had >1 organ involved. Five patients had immunosuppression withdrawn, whereas four and three patients received radiotherapy and chemotherapy, respectively. Eight patients are alive (median follow-up 48 months, range 5–128), whereas five patients died after a median time of 8 months from the diagnosis of KS. However, no death was caused by KS. We conclude that the incidence of KS after HSCT is very low. Although KS can be managed with the reduction of immunosuppression, visceral forms may require chemotherapy and/or radiotherapy. The low prevalence of KS indicates that screening for HHV-8 serology and surveillance for HHV-8 viremia are not indicated in HSCT patients. More... »

PAGES

110-116

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41409-019-0644-8

DOI

http://dx.doi.org/10.1038/s41409-019-0644-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1120442701

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31435035


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21 schema:description The incidence, the clinical characteristics, and the outcome of Kaposi sarcoma (KS) in patients after hematopoietic stem cell transplantation (HSCT) were assessed. During the period 1987–2018, 13 cases of KS were diagnosed, 3 females and 10 males, median age of 50 years, median time from HSCT of 7 months. KS had an incidence of 0.17% in allogeneic and 0.05% in autologous HSCT. HHV-8 was documented in eight of nine tumor tissue samples assessed. The organ involvement was: skin in nine, lymph nodes in six, oral cavity in four, and visceral in three patients, respectively; seven patients had >1 organ involved. Five patients had immunosuppression withdrawn, whereas four and three patients received radiotherapy and chemotherapy, respectively. Eight patients are alive (median follow-up 48 months, range 5–128), whereas five patients died after a median time of 8 months from the diagnosis of KS. However, no death was caused by KS. We conclude that the incidence of KS after HSCT is very low. Although KS can be managed with the reduction of immunosuppression, visceral forms may require chemotherapy and/or radiotherapy. The low prevalence of KS indicates that screening for HHV-8 serology and surveillance for HHV-8 viremia are not indicated in HSCT patients.
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28 HHV-8
29 HHV-8 serology
30 HHV-8 viremia
31 HSCT patients
32 Kaposi's sarcoma
33 age
34 allogeneic
35 analysis
36 autologous hematopoietic stem cell transplantation
37 behalf
38 cases
39 cases of KS
40 cavity
41 cell transplantation
42 characteristics
43 chemotherapy
44 clinical characteristics
45 death
46 diagnosis
47 diagnosis of KS
48 disease
49 females
50 form
51 hematopoietic stem cell transplantation
52 immunosuppression
53 incidence
54 incidence of KS
55 infectious diseases
56 involvement
57 literature
58 low prevalence
59 lymph nodes
60 males
61 median age
62 median time
63 months
64 nodes
65 oral cavity
66 organ involvement
67 organs
68 outcomes
69 parties
70 party of EBMT
71 patients
72 prevalence
73 radiotherapy
74 reduction
75 reduction of immunosuppression
76 retrospective analysis
77 review
78 samples
79 sarcoma
80 serology
81 skin
82 stem cell transplantation
83 surveillance
84 time
85 tissue samples
86 transplantation
87 tumor tissue samples
88 viremia
89 visceral form
90 years
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