Kaposi’s sarcoma after liver transplantation
- 9 October 2007
- journal article
- Published by Springer Science and Business Media LLC in Zeitschrift für Krebsforschung und Klinische Onkologie
- Vol. 134 (6), 653-658
- https://doi.org/10.1007/s00432-007-0329-3
Abstract
INTRODUCTION: Kaposi's Sarcoma (KS) is a malignant neoplasm arising from endothelial cells. HHV8-infection represents a key pathogenic determinant for the development of KS. There are no standard criteria to treat KS in immunosuppressed-individuals. Six cases (2.1\%) of KS occurred in our Center among 285-recipients who underwent liver transplantation (LT) between October 2000 and November 2006. METHODS: Patients were four males and two females. Mean age was 57 years (range 44-65). Indication for LT was ESLD associated/non-associated with hepatocellular carcinoma (HCC). The immunosuppressive regimen consisted of cyclosporine/tacrolimus associated with steroids or daclizumab. HHV8-detection was performed by the serological method before LT, and by polymerase chain reaction (PCR)-analysis after KS. RESULTS: One patient had HCV-related cirrhosis and coinfection from HIV, three had HBV-related cirrhosis, two of these with coexistent HCC. The last two patients had alcoholic-cirrhosis, one with coexistent HCC. Mean time from transplantation to KS was 6.2 months (range 3.8-8.8). Three patients were treated with doxorubicin and three with switch from calcineurin-inhibitors to sirolimus. Three patients expired after 11.5, 8.8, and 7.4 months from KS diagnosis. DISCUSSION: KS should be treated by a multidisciplinary approach to obtain an early diagnosis and best management. Effective treatment with immunosuppression reduction or switch to sirolimus is mandatory and can induce complete regressionThis publication has 30 references indexed in Scilit:
- Sirolimus Conversion for Patients with Posttransplant Kaposi's SarcomaAmerican Journal of Transplantation, 2006
- Liver and Intestine Transplantation in the United States, 1995–2004American Journal of Transplantation, 2006
- Kaposi's Sarcoma after Renal TransplantationThe New England Journal of Medicine, 2005
- Sirolimus for Kaposi's Sarcoma in Renal-Transplant RecipientsThe New England Journal of Medicine, 2005
- Kaposi's sarcoma in liver transplant recipients: Morphological and clinical descriptionLiver Transplantation, 2001
- Sexual Transmission and the Natural History of Human Herpesvirus 8 InfectionThe New England Journal of Medicine, 1998
- Kaposi’s Sarcoma in Renal-Transplant Recipients: Experience at the Catholic University in Rome, 1988–1996Dermatology, 1997
- SARCOMAS IN ORGAN ALLOGRAFT RECIPIENTS1,2Transplantation, 1995
- Cancers Complicating Organ TransplantationThe New England Journal of Medicine, 1990
- KAPOSIʼS SARCOMA: A CLINICOPATHOLOGIC STUDY WITH PARTICULAR REFERENCE TO ITS RELATIONSHIP TO THE RETICULOENDOTHELIAL SYSTEMMedicine, 1965