Kaposi's Sarcoma: Difference between revisions

(Kaposi Sarcoma)
 
(Redirected page to Kaposi's sarcoma)
 
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==Background==
#REDIRECT[[Kaposi's sarcoma]]
*Angioproliferative disorder caused by HHV-8
*Divided into four types based on clinical circumstance
**Classic - typically presents in middle or old age
**Endemic - endemic in sub-Saharan Africa
**Iatrogenic - associated with immunosuppressive therapy
**AIDS-associated
 
==Clinical Features==
*Skin Lesions
**Purplish, reddish blue, or brown macules, plaques, and nodules on the skin
**Ranging from very small to several cm in diameter
**May rapidly evolve and disseminate or remain unchanged over time
 
*Extracutaneous Manifestations
**Involvement of the mouth and GI tract
**Often asymptomatic but may cause bleeding or diarrhea
 
*Chronic, indolent course rarely influencing survival
 
==Differential Diagnosis==
*Peripheral vascular disease
*Bacillary angiomatosis
*Angiosarcoma
*Hemangioma
 
==Diagnosis==
*Biopsy is required for definitive diagnosis
*PCR of skin sample for HHV-8
 
==Management==
*Primary goals of treatment: palliation, alleviating lymphedema, improving function, decreasing the size of cutaneous or visceral lesions, and delaying or preventing disease progression
*Surgery may be considered for singular lesions
*Radiation is effective though controversial
*Cryotherapy for local control, though effect is largely cosmetic
 
==Disposition==
*Follow up for outpatient treatment
 
==See Also==
 
==External Links==
 
==References==
<UpToDate>

Latest revision as of 12:15, 7 February 2016

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