Hodgkin Lymphoma in People Living with HIV

Jose-Tomas Navarro1,2,3, José Moltó3,4, Gustavo Tapia3,5

  • 1Department of Hematology, Institute Català d'Oncologia-Germans Trias i Pujol Hospital, Carretera de Canyet s/n, 08916 Barcelona, Spain.

Cancers
|September 10, 2021
PubMed

Insights

Hodgkin lymphoma (HL) incidence has risen in people living with HIV (PLWH) despite combined antiretroviral therapy (cART). Effective cART during chemotherapy improves survival for PLWH with HL, necessitating collaborative care.

Area of Science:

  • Oncology
  • Infectious Diseases
  • Virology

Background:

  • HIV-related lymphomas (HRL) remain a significant cause of morbidity and mortality in people living with HIV (PLWH).
  • While aggressive non-Hodgkin lymphoma incidence decreased with combined antiretroviral therapy (cART), Hodgkin lymphoma (HL) incidence has increased in PLWH.
  • Epstein-Barr virus coinfection is critical in the pathogenesis of HL within the HIV setting.

Purpose of the Study:

  • To review and update epidemiological, clinical, and biological aspects of HL in PLWH.
  • To emphasize advances in prognosis and contributing factors for HL in PLWH.
  • To highlight the importance of cART and interdisciplinary care in managing HL in PLWH.

Main Methods:

  • Literature review and synthesis of current data on HL in PLWH.
  • Analysis of epidemiological trends, clinical presentations, and biological mechanisms.
  • Evaluation of treatment strategies, including cART and chemotherapy, and their impact on prognosis.

Main Results:

  • The prognosis for HL in PLWH is improving and nearing that of the general population.
  • Effective cART during chemotherapy is associated with improved survival rates for all lymphoma subtypes, including HL.
  • Interdisciplinary collaboration is crucial for managing drug interactions and toxicities.

Conclusions:

  • HL in PLWH requires specialized, collaborative management integrating HIV and hemato-oncology expertise.
  • Advances in cART and chemotherapy have significantly improved outcomes for PLWH with HL.
  • Continued research into the pathogenesis and treatment of HL in PLWH is essential.

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