Cancers in the TREAT Asia HIV Observational Database (TAHOD): a retrospective analysis of risk factors
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- 作者：Kathy Petoumenos (1)
Eugenie Hui (2)
Nagalingeswaran Kumarasamy (3)
Stephen J Kerr (1) (4)
Jun Yong Choi (5)
Yi-Ming A Chen (6)
Tuti Merati (7)
Fujie Zhang (8)
Poh-Lian Lim (9)
Somnuek Sungkanuparph (10)
Sanjay Pujari (11)
Sasheela Ponnampalavanar (12)
Rosanna Ditangco (13)
Christopher KC Lee (14)
Andrew Grulich (1)
Matthew G Law (1) - 刊名：Journal of the International AIDS Society
- 出版年：2010
- 出版时间：December 2010
- 年：2010
- 卷：13
- 期：1
- 全文大小：300KB
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43. Zevallos-Giampietri EA, Yanes HH, Orrego Puelles J, Barrionuevo C: Primary meningeal Epstein-Barr virus-related leiomyosarcoma in a man infected with human immunodeficiency virus: review of literature, emphasizing the differential diagnosis and pathogenesis. / Appl Immunohistochem Mol Morphol 2004, 12: 387鈥?91. - 作者单位：Kathy Petoumenos (1)
Eugenie Hui (2)
Nagalingeswaran Kumarasamy (3)
Stephen J Kerr (1) (4)
Jun Yong Choi (5)
Yi-Ming A Chen (6)
Tuti Merati (7)
Fujie Zhang (8)
Poh-Lian Lim (9)
Somnuek Sungkanuparph (10)
Sanjay Pujari (11)
Sasheela Ponnampalavanar (12)
Rosanna Ditangco (13)
Christopher KC Lee (14)
Andrew Grulich (1)
Matthew G Law (1)
1. National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, NSW, Australia
2. Queen Elizabeth Hospital, Hong Kong, China
3. YRG Centre for AIDS Research and Education, Chennai, India
4. HIV-Netherlands Australia Thailand Research Collaboration, 104 Ratchadamri Road, 10330, Bangkok, Thailand
5. Department of Internal Medicine and AIDS Research Institute, Yonsei University College of Medicine, Seoul, South Korea
6. Taipei Veterans General Hospital and AIDS Prevention and Research Centre, National Yang-Ming University, Taipei, Taiwan
7. Faculty of Medicine Udayana University & Sanglah Hospital, Bali, Indonesia
8. Beijing Ditan Hospital, Beijing, China
9. Tan Tock Seng Hospital, Singapore
10. Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
11. Institute of Infectious Diseases, Pune, India
12. University Malaya Medical Centre, Kuala Lumpur, Malaysia
13. Research Institute for Tropical Medicine, Manila, Philippines
14. Hospital Sungai Buloh, Kuala Lumpur, Malaysia
文摘
Background This retrospective survey describes types of cancers diagnosed in HIV-infected subjects in Asia, and assesses risk factors for cancer in HIV-infected subjects using contemporaneous HIV-infected controls without cancer. Methods TREAT Asia HIV Observational Database (TAHOD) sites retrospectively reviewed clinic medical records to determine cancer diagnoses since 2000. For each diagnosis, the following data were recorded: date, type, stage, method of diagnosis, demographic data, medical history, and HIV-related information. For risk factor analyses, two HIV-infected control subjects without cancer diagnoses were also selected. Cancers were grouped as AIDS-defining cancers (ADCs), and non-ADCs. Non-ADCs were further categorized as being infection related (NADC-IR) and unrelated (NADC-IUR). Results A total of 617 patients were included in this study: 215 cancer cases and 402 controls from 13 sites. The majority of cancer cases were male (71%). The mean age (SD) for cases was 39 (10.6), 46 (11.5) and 44 (13.7) for ADCs, NADC-IURs and NADCs-IR, respectively. The majority (66%) of cancers were ADCs (16% Kaposi sarcoma, 40% non-Hodgkin's lymphoma, and 9% cervical cancer). The most common NADCs were lung (6%), breast (5%) and hepatocellular carcinoma and Hodgkin's lymphoma (2% each). There were also three (1.4%) cases of leiomyosarcoma reported in this study. In multivariate analyses, individuals with CD4 counts above 200 cells/mm3 were approximately 80% less likely to be diagnosed with an ADC (p < 0.001). Older age (OR: 1.39, p = 0.001) and currently not receiving antiretroviral treatment (OR: 0.29, p = 0.006) were independent predictors of NADCs overall, and similarly for NADCs-IUR. Lower CD4 cell count and higher CDC stage (p = 0.041) were the only independent predictors of NADCs-IR. Conclusions The spectrum of cancer diagnoses in the Asia region currently does not appear dissimilar to that observed in non-Asian HIV populations. One interesting finding was the cases of leiomyosarcoma, a smooth-muscle tumour, usually seen in children and young adults with AIDS, yet overall quite rare. Further detailed studies are required to better describe the range of cancers in this region, and to help guide the development of screening programmes.