Kaposi Sarcoma in Solid Organ Transplant Recipients: A challenging Case

D. Macedo, P. Garrido, I. Fernandes, A. Santana, J. Guerra, J. Borges-Costa
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Abstract

Kaposi sarcoma is a low-grade vascular tumor, associated with human herpesvirus-8 infection. Solid organ transplant recipients have a much higher risk of this malignancy, with estimated incidence rates increased 84 to 500 times. The risk is even higher in some ethnic groups, already with a higher incidence of this disease. We report a case of a 37-year-old African male, a kidney transplant recipient, with a Kaposi sarcoma refractory to different treatment options. The present case puts in evidence the challenges associated with the management of this disease in this high-risk population and highlights the role of a multidisciplinary approach to achieve effective treatment, particularly in advanced and refractory forms.
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实体器官移植受者的卡波西肉瘤:一个具有挑战性的病例
卡波西肉瘤是一种低级别血管肿瘤,与人类疱疹病毒-8感染有关。实体器官移植受者患这种恶性肿瘤的风险要高得多,估计发病率增加了84至500倍。在一些已经有较高发病率的种族群体中,这种风险甚至更高。我们报告一个37岁的非洲男性,肾脏移植接受者,与卡波西肉瘤难治不同的治疗方案。本病例证明了在这一高危人群中管理这种疾病所面临的挑战,并突出了多学科方法在实现有效治疗方面的作用,特别是在晚期和难治性形式中。
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