Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2009-3-30
pubmed:abstractText
This is a mono-institutional analysis of the clinical features, immunological and virological findings, and prognostic factors of patients with HIV infection and HHV-8-lymphoproliferative disorders. Patients with Multicentric Castleman Disease and HHV-8-related lymphoma diagnosed and treated from April 1987 to June 2004 were included in the study. HHV-8 and HIV plasma viral load, CD4+ count, hematologic parameters, and general wellbeing (performance status) were assessed at the onset of the diseases and analyzed in order to identify possible prognostic factors. Nine patients with Multicentric Castleman disease, and 16 with HHV-8-related lymphomas (13 primary effusion lymphomas and 3 solid lymphomas), were diagnosed and treated out of 327 HIV-related non-Hodgkin's lymphomas. Four patients with Multicentric Castleman disease received only antiretroviral drugs; 5 HAART plus oral etoposide. Nine patients with primary effusion lymphoma were treated with a CHOP-like regimen (Cyclophosphamide, Prednisone anthracyclines, Vinca alkaloids, Bleomycin, Etoposide) and HAART; 1 with etoposide and HAART, 1 with HAART alone. The patients with solid lymphoma underwent CHOP-like chemotherapy. Patients with Multicentric Castleman disease showed lower median values of HHV-8 viral load and longer overall survival compared with HHV-8-related lymphomas. Patients with viral load of HHV-8, >40,000 cp/ml had a significant shorter overall survival. In the univariate analysis, HHV-8-related lymphoma, HHV-8 viral load >40,000 cp/ml and performance status >2 were associated with an increased risk of death. Multivariate analysis confirmed the diagnosis of lymphoma as an independent predictor of shorter survival.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1096-9071
pubmed:author
pubmed:copyrightInfo
Copyright 2009 Wiley-Liss, Inc.
pubmed:issnType
Electronic
pubmed:volume
81
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
888-96
pubmed:meshHeading
pubmed-meshheading:19319955-Adult, pubmed-meshheading:19319955-Aged, pubmed-meshheading:19319955-Antineoplastic Agents, pubmed-meshheading:19319955-Antiretroviral Therapy, Highly Active, pubmed-meshheading:19319955-DNA, Viral, pubmed-meshheading:19319955-Female, pubmed-meshheading:19319955-Giant Lymph Node Hyperplasia, pubmed-meshheading:19319955-HIV Infections, pubmed-meshheading:19319955-Herpesviridae Infections, pubmed-meshheading:19319955-Herpesvirus 8, Human, pubmed-meshheading:19319955-Humans, pubmed-meshheading:19319955-Lymphoma, pubmed-meshheading:19319955-Lymphoma, AIDS-Related, pubmed-meshheading:19319955-Lymphoma, Primary Effusion, pubmed-meshheading:19319955-Lymphoproliferative Disorders, pubmed-meshheading:19319955-Male, pubmed-meshheading:19319955-Middle Aged, pubmed-meshheading:19319955-Prognosis, pubmed-meshheading:19319955-Survival Analysis, pubmed-meshheading:19319955-Survival Rate, pubmed-meshheading:19319955-Treatment Outcome, pubmed-meshheading:19319955-Viral Load, pubmed-meshheading:19319955-Young Adult
pubmed:year
2009
pubmed:articleTitle
Plasma HHV-8 viral load in HHV-8-related lymphoproliferative disorders associated with HIV infection.
pubmed:affiliation
Division of Medical Oncology A, National Cancer Institute, Aviano, Italy. csimonelli@cro.it
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't