[HIV-related malignancies: state of art]

Bull Cancer. 2014 Nov;101(11):1020-9. doi: 10.1684/bdc.2014.2032.
[Article in French]

Abstract

HIV infection is related to an increased risk of cancer compared with general population, both AIDS-defining cancers (Kaposi's sarcoma, non Hodgkin's lymphoma, invasive cervical cancer) and non-AIDS-defining cancers. Although the advent of the highly active antiretroviral therapy era has decreased the Kaposi's sarcoma and non-Hodgkin's lymphoma incidences, non-AIDS-defining malignancies, such as lung cancer, hepatocarcinoma, anal cancer and skin cancers, remain a major cause of morbidity and death in the HIV-infected population. The clinical presentation is often different between the infected and non-infected populations, often with a more advanced stage at diagnosis, a more aggressive pathology, and associated morbidities like immunosuppression, leading to poorer outcomes. Numerous studies have focused on HIV-related malignancies' treatment, however specific guidelines are still missing. Practitioners have to be careful with interactions between antiretroviral and antineoplastic drugs, particularly through the cytochrome P 450. Because of this, a national multidisciplinary approach, "Cancer and HIV, " was started in 2013 thanks to the National Institute of Cancer (INCa). The aim of this review is to present a scientific update about AIDS-and non-AIDS-defining malignancies, both in their clinical aspects and regarding their specific therapeutic management.

Keywords: HIV infection; Kaposi's sarcoma; cutaneous malignancies; hepatocarcinoma; lymphomas; neoplasms.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Anti-HIV Agents / therapeutic use*
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Drug Interactions
  • Female
  • HIV Infections / complications*
  • HIV Infections / drug therapy
  • Humans
  • Neoplasms / classification
  • Neoplasms / drug therapy*
  • Neoplasms / etiology*

Substances

  • Anti-HIV Agents
  • Antineoplastic Agents