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First reported case of endometrial carcinoma in association with HIV infection
G. B. Gard1, O. M. McNally, N. J. Mulvany
1Department of Gynaecological Oncology, Royal Women's Hospital, Carlton, Australia; Department of Pathology, Royal Women's Hospital, Carlton, Australia; Department of Infectious Diseases, Royal Melbourne Hospital, Parkville, Australia; Department of Radiation Oncology, Peter MacCallum Cancer Institute, East Melbourne, Australia; Department of Medical Oncology, Peter MacCallum Cancer Institute, East Melbourne, Australia.
Abstract:
Endometrial adenocarcinoma is the most common gynecologic cancer in developed countries, although it has never before been documented in a female infected with human immunodeficiency virus (HIV). By contrast, cervical carcinoma is well described in association with HIV infection and in 1993 was added to the AIDS case definition. We present the unique case of a 38-year-old HIV-infected female with endometrial carcinoma, who became rapidly disseminated following her initial surgery. Although HIV is unlikely to have an etiologic role in endometrial carcinoma, it is conceivable that immunosuppression contributed to an accelerated course of her malignancy.