Skip to main content

Advertisement

Log in

Aggressive Classical Kaposi’s Sarcoma Mimicking Malignant Lymphoma

  • Research
  • Published:
Pathology & Oncology Research

Abstract

Classical Kaposi’s sarcoma is an unusual multifocal neoplasm of vascular endothelial cell origin, and considered a less malignant, slowly-progressing tumor. Although visceral involvement is occasionally seen in HIV/AIDS patients with KS, tumor dissemination to visceral lymph nodes in classical KS is very rare. A 72-year-old woman without any other relevant past medical history presented with anorexia, weight loss, night sweats, and skin eruptions. As the rapid progression of cytopenias and lymphadenopathy were observed, bone marrow biopsy and imaging were performed. Positron emission tomography showed disseminated lymphadenopathy in the cervical, axillary, mediastinal, inguinal, and abdomino-pelvic nodal areas. Inguinal lymph node biopsy was compatible with KS, positive for CD31, CD34, and human herpesvirus-8 by immunohistochemical stain. We report a case of aggressive classical KS mimicking aggressive malignant lymphoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Kaposi M (1982) Idiopathic multiple pigmented sarcoma of the skin. CA Cancer J Clin 32:342–347

    Article  Google Scholar 

  2. Antman K, Chang Y (2000) Kaposi’s Sarcoma. N Engl J Med 342:1027–1038

    Article  PubMed  CAS  Google Scholar 

  3. Friedman-Kien AE, Saltzman BR (1990) Clinical manifestations of classical, endemic African, and epidemic AIDS-associated Kaposi’s sarcoma. J Am Acad Dermatol 22:1237–1250

    Article  PubMed  CAS  Google Scholar 

  4. Brenner B, Weissmann-Brenner A, Rakowsky E et al (2002) Classical Kaposi sarcoma. Cancer 95:1982–1987

    Article  PubMed  Google Scholar 

  5. Lospalluti M, Mastrolonardo M, Loconsole F et al (1995) Classical Kaposi’s sarcoma: a survey of 163 cases observed in Bari, South Italy. Dermatology 191:104–108

    Article  PubMed  CAS  Google Scholar 

  6. Patel RM, Goldblum JR, Hsi ED (2004) Immunohistochemical detection of human herpes virus-8 latent nuclear antigen-1 is useful in the diagnosis of Kaposi sarcoma. Mod Pathol 17:456–460

    Article  PubMed  Google Scholar 

  7. Chang Y, Cesarman E, Pessin MS et al (1994) Identification of herpesvirus-like DNA sequences in AIDS-associated Kaposi’s sarcoma. Science 266:1865–1869

    Article  PubMed  CAS  Google Scholar 

  8. Osman M, Kubo T, Gill J et al (1999) Identification of Human Herpesvirus 8-Specific Cytotoxic T-Cell Responses. J Virol 73:6136–6140

    PubMed  CAS  Google Scholar 

  9. Cheuk W, Wong KOY, Wong CSC et al (2004) Immunostaining for Human Herpesvirus 8 latent nuclear Antigen-1 helps distinguish Kaposi Sarcoma from its mimickers. Am J Clin Pathol 121:335–342

    Article  PubMed  Google Scholar 

  10. Brenner B, Rakowsky E, Katz A et al (1999) Tailoring treatment for classical Kaposi’s sarcoma: comprehensive clinical guidelines. Int J Oncol 14:1097–1102

    PubMed  CAS  Google Scholar 

  11. Von Roenn JH, Cianfrocca M (2001) Treatment of Kaposi’s sarcoma. Canc Treat Res 104:127–148

    Article  Google Scholar 

  12. Di Lorenzo G, Kreuter A, Di Trolio R et al (2008) Activity and safety of pegylated liposomal doxorubicin as first-line therapy in the treatment of non-visceral classic Kaposi’s sarcoma: a multicenter study. J Invest Dermatol 128:1578–1580

    Article  PubMed  Google Scholar 

  13. Brambilla L, Romanelli A, Bellinvia M et al (2008) Weekly paclitaxel for advanced aggressive classic Kaposi sarcoma: experience in 17 cases. Br J Dermatol 158:1339–1344

    Article  PubMed  CAS  Google Scholar 

  14. Zustovich F, Lombardi G, Pastorelli D (2009) Important role of gemcitabine in the treatment of classic Kaposi’s sarcoma. Tumori 95:562–563

    PubMed  Google Scholar 

  15. Krown SE (2007) AIDS-associated Kaposi’s sarcoma: is there still a role for interferon alfa? Cytokine Growth Factor Rev 18:395–402

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dong Hoe Koo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jeong, E.H., Koo, D.H., Lee, S.H. et al. Aggressive Classical Kaposi’s Sarcoma Mimicking Malignant Lymphoma. Pathol. Oncol. Res. 18, 1067–1069 (2012). https://doi.org/10.1007/s12253-012-9545-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12253-012-9545-5

Keywords

Navigation