Early stage primary gastric diffuse large B-cell lymphoma in a young HIV-positive patient
Autopsy And Case Reports
Early stage primary gastric diffuse large B-cell lymphoma in a young HIV-positive patient
Autor Correspondente: G. Harada | [email protected]
Palavras-chave: lymphoma large B-cell diffuse, stomach neoplasms, lymphoma AIDS-related, acquired immunodeficiency syndrome
Resumos Cadastrados
Resumo Inglês:
HIV infection is known to be associated with the development of a wide range of neoplasia. About 25 to 40% of HIVpositive
patients will present some kind of malignancy in the course of the disease; among them 10% are non-Hodgkin
lymphomas (NHL) and 20% of these are represented by the diffuse large B-cell lymphoma. HIV-positive patients have a
relative risk of 110 times higher to develop neoplasia, than the non-infected population. The gastrointestinal (GI) tract
is the most frequent extranodal site of involvement. However, the primary GI lymphoma is rare. The authors present a
case of a 31-year-old male patient with a 16-year history of HIV infection, who deliberately withdrew the Highly Active
Antiretroviral Therapy (HAART) regimen and was hospitalized because of a respiratory infection. Because of a long-term
complaint of dyspepsia, an upper gastrointestinal endoscopy was performed disclosing a large elevated and ulcerated
gastric lesion, which biopsy revealed a diffuse large B-cell lymphoma. Clinical, imaging and laboratory tests showed an
early stage diagnosis: Lugano stage I. Although not frequent, the authors alert to considering this neoplasia in all HIV-positive
patients with dyspeptic symptoms.