Kaposi Sarcoma of the Larynx: A Systematic Review.
Otolaryngol Head Neck Surg
; 168(3): 269-281, 2023 03.
Article
em En
| MEDLINE
| ID: mdl-35671149
ABSTRACT
OBJECTIVE:
Kaposi sarcoma (KS) of the larynx is a rare disease with few cases reported in the literature. This study aims to provide a comprehensive review of laryngeal KS, including patient characteristics, treatment, and clinical outcomes. DATA SOURCES PubMed, CINAHL, SCOPUS, and Cochrane Library. REVIEWMETHODS:
A systematic review of the published English literature was conducted. An electronic search and bibliographic examination of articles pertaining to laryngeal KS were performed. Demographic data, tumor site, treatment strategies, follow-up, and outcome were analyzed.RESULTS:
A total 77 cases from 50 articles were included in the review. The mean age was 47.6 years (range, 8-81). There was an 8.61 malefemale ratio. The most common presenting symptoms were dyspnea (n = 35) and hoarseness (n = 25). Laryngeal KS arose most frequently in the supraglottic region (n = 16). Chemotherapy alone (n = 27) was the most common treatment modality in patients with AIDS-associated KS, and surgical excision alone (n = 7) was most common in patients with other subtypes of KS (eg, classic, transplant associated). Average follow-up was 20.4 months (range, 0.75-120). Most patients with AIDS-associated KS died of other causes (n = 25), but most patients with other subtypes of KS were alive with no evidence of disease at follow-up (n = 13).CONCLUSION:
This review contains the largest pool of laryngeal KS cases to date. Long-term outcomes were generally unfavorable, often due to advanced HIV disease at the time of diagnosis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sarcoma de Kaposi
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Infecções por HIV
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Síndrome da Imunodeficiência Adquirida
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Laringe
Tipo de estudo:
Systematic_reviews
Limite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article