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Identifying Dysregulated Genes Induced by Kaposi's Sarcoma-associated Herpesvirus (KSHV)
07:02

Identifying Dysregulated Genes Induced by Kaposi's Sarcoma-associated Herpesvirus (KSHV)

Published on: September 14, 2010

Aggressive classical Kaposi's sarcoma mimicking malignant lymphoma.

Eun Haeng Jeong1, Dong Hoe Koo, Sang Hyuk Lee

  • 1Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-Dong, Chongno-Gu, Seoul, 110-746, South Korea.

Pathology Oncology Research : POR
|June 22, 2012
PubMed
Summary

Classical Kaposi's sarcoma (KS) rarely disseminates to visceral lymph nodes. This aggressive case mimicked lymphoma, highlighting the need for vigilance in diagnosing unusual KS presentations.

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Area of Science:

  • Oncology
  • Pathology

Background:

  • Classical Kaposi's sarcoma (KS) is typically a slow-growing vascular neoplasm.
  • Visceral lymph node involvement in classical KS is exceptionally rare, often associated with HIV/AIDS.

Observation:

  • A 72-year-old woman presented with constitutional symptoms and skin lesions.
  • Rapidly progressing cytopenias and widespread lymphadenopathy were noted.
  • Imaging revealed disseminated lymphadenopathy across multiple nodal basins.

Findings:

  • Inguinal lymph node biopsy confirmed Kaposi's sarcoma.
  • Immunohistochemical stains were positive for CD31, CD34, and human herpesvirus-8.
  • The clinical presentation mimicked aggressive malignant lymphoma.

Implications:

  • This case underscores the potential for aggressive behavior in classical KS.
  • It highlights the importance of considering KS in the differential diagnosis of disseminated lymphadenopathy, even in non-HIV patients.
  • Accurate diagnosis is crucial for appropriate management and treatment strategies.