Abstract
A broad spectrum of malignant tumors affecting various organ systems in HIV-1 infected patients have been described in larger series. Intracerebral mass lesions encountered in HIV-1 infection are mostly due to toxoplasmosis and central nervous system (CNS) lymphoma. Brain tumors (excluding lymphomas) occurring in HIV-1 infected patients have only occasionally been described. The present review summarizes these diverse tumor entities and reports on the controversial theories of a possible oncogenic potential of HIV-1. Although rare, intracerebral tumors must be considered in the differential diagnosis of an intracranial space-occupying lesion in an HIV-1 infected patient.
Similar content being viewed by others
References
Budka H, Wiley CA, Kleihues P, Artigas J, Asbury AK, Cho E-K, Cornblath DR, Dal Canto MC, DeGirolami U, Dickson DW, Epstein LG, Esiri MM, Giangaspero F, Gosztonyi G, Gray F, Griffin JW, Hénin D, Iwasaki Y, Janssen RS, Johnson RT, Lantos PL, Lyman WD, McArthur JC, Nagashima K, Peress N, Petito CK, Price RW, Rhodes RH, Rosenblum M, Said G, Scaravilli F, Sharer LR, Vinters HV: HIV-associated disease of the nervous system: review of nomenclature and proposal for neuropathology-based terminology. Brain Pathology 1: 143–152, 1991
Weis S, Bise K, Llenos IC, Mehraein P: Neuropathologic features of the brain in HIV-1 infection. In:Weis S, Hippius H (eds) HIV-1 Infection of the Central Nervous System. Clinical, Pathological, and Molecular Aspects. Hogrefe & Huber Publishers, Seattle, 1992, pp 159–190
DeAngelis LM: Primary brain tumors in the acquired immunodeficiency syndrome. Curr Opin Neurol 8: 419–423, 1995
Gildenberg PL, Langford L, Kim JH, Trujillo R: Stereotactic biopsy in cerebral lesions of AIDS. Acta Neurochir 59(suppl): 68–70, 1993
Levy RM, Pons VG, Rosenblum ML: Central nervous system mass lesions in the acquired immunodeficiency syndrome (AIDS). J Neurosurg 61: 9–16, 1984
Matthiessen L, Marche C, Labrousse F, Trophilme D, Fontaine C, Vedrenne C: Étude neuropathologique de l'encéphale de 174 patients morts du SIDA dans un hopital parisien, de 1982 à 1988. Ann Med Interne Paris 143: 43–49, 1992
Kleihues P, Burger PC, Scheithauer BW: Histological Typing of Tumours of the Central Nervous System. Springer-Verlag, Berlin, 1993
Burger PC, ScheithauerBW: Tumors of the Central Nervous System. Third Series. Armed Forces Institute of Pathology, Washington, D.C. 1994
Weill O, Finaud M, Bille F, Gastaut JL, Gastaut JA, Malca S, Vincentelli F: Gliome malin medullaire. Une nouvelle complication de 1'infection par le virus HIV? [letter]. Presse Med 16: 1977, 1987
Gasnault J, Roux FX, Vedrenne C: Cerebral astrocytoma in association with HIV infection. J Neurol Neurosurg Psychiat 51: 422–424, 1988
Carrana EJ, Rossitch E, Moore MR, Funkenstein HH: Anaplastic astrocytoma in association with human immunodeficiency virus type 1 infection [letter]. Am J Emerg Med 8: 565–567, 1990
Ho K-L, Gottlieb C, Zarbo RJ: Cytomegalovirus infection of cerebral astrocytoma in an AIDS patient. Clin Neuropathol 10: 127–133, 1991
Chappell ET, Guthrie ML, Orenstein J: The role of stereotactic biopsy in the management of HIV-related focal brain lesions. Neurosurgery 30: 825–829, 1992
Hajjar M, Lacoste D, Brossard G, Dupon M, Salmi LR, Dabis F: Non-acquired immune deficiency syndromedefining malignancies in a hospital-based cohort of human immunodeficiency virus-infected patients: Bordeaux, France, 1985–1991. J Natl Cancer Inst 84: 1593–1595, 1992
Kasantikul V, Kaoroptham S, Hanvanich M: Acquired immunodeficiency syndrome associated with cerebral astrocytoma. Clin Neuropathol 11: 25–27, 1992
Petty RKH, Kennedy PGE: The neurological features of HIV-positive patients in Glasgow – a retrospective study of 90 cases. Quart J Med 299: 223–234, 1992
Crosato IM, Tirelli U, Vaccher E, Clerici M, De Lalla F, Faustini M, Gritti F, Lazzarin A, Magnani G, Marini B, Piersantelli N, Pizzocaro G, Rizzi M, Rosso R, Sinicco A, Sueri L, Torresin A, Monfardini S: Tumori solidi in associazione all'infezione da HIV. Minerva Med 84: 89–94, 1993
Mikol J: Other Types of Tumours. In: Gray F (ed) Atlas of the Neuropathology of HIV Infection. Oxford University Press, Oxford, 1993, pp 146–147
Chamberlain MC: Gliomas in patients with acquired immune deficiency syndrome. Cancer 74: 1912–1914, 1994
Mandel M, Toren A, Hadani M, Engelberg I, Martinowitz U, Rechavi G: Ependymoblastoma in an HIV-positive hemophilic girl. Med Pediatr Oncol 23: 441–443, 1994
Moulignier A, Mikol I, Pialoux G, Eliaszewicz M, Thurel C, Thiébaut JB: Cerebral glial tumors and human immunode-ficiency virus-1 infection. More than a coincidental association. Cancer 74: 686–692, 1994
Gervasoni C, Ridolfo AL, Rocca A, Vago L, d'Arminio-Monforte A: Cerebral astrocytoma in HIV-infected patients [letter]. AIDS 9: 403–404, 1995
Steinmetz H, Arendt E, Hefter H, Neuen-Jacob E, Dörries K, Aulich A, Kahn T: Focal brain lesions in patients with AIDS: aetiologies and corresponding radiological patterns in a prospective study. J Neurol 242: 69–74, 1995
Büttner A, Itoh K, Mehraein P, Weis S: CMV-infected subependymoma in the fourth ventricle of an HIV-1 infected patient. J Neurovirol 2: 191–194, 1996
Neal JW, Llewelyn MB, Morrison HL, Jasani B, Borysiewicz LK: A malignant astrocytoma in a patient with AIDS: a possible association between astrocytomas andHIV infection. J Infect 33: 159–162, 1996
Tacconi L, Stapleton S, Signorelli F, Thomas DG: Acquired immune deficiency syndrome (AIDS) and cerebral astrocytoma. Clin Neurol Neurosurg 98: 149–151, 1996
d'Arminio-Monforte A, Cinque P, Vago L, Rocca A, Gervasoni C, Terreni MR, Novati R, Gori A, Lazzarin A, Moroni M: A comparison of brain biopsy and CSF-PCR in the diagnosis of CNS lesions in AIDS patients. J Neurol 244: 35–39, 1997
Majtényi C: Primary brain tumours in AIDS patients ['Abstract']. Brain Pathol 7: 1209, 1997
Waubant E, Delisle MB, Bonafé A, Gray F, Clanet M: Cervical cord glioma in an HIV positive patient. Eur Neurol 39: 58–60, 1998
BeralV, Jaffe H, Weiss R: Overview: cancer, HIV and AIDS. Cancer Surv 10: 1–3, 1991
Tirelli U, Errante D, Carbone A, Gloghini A, Vaccher E: Malignant tumors in patients with HIV infection. Crit Rev Oncol Hematol 24: 165–184, 1996
Büttner A, Marquart KH, Mehraein P, Weis S: Kaposi's sarcoma in the cerebellum of a patient with AIDS. Clin Neuropathol 16: 185–189, 1997
Monfardini S, Vaccher E, Pizzocaro G, Stellini R, Sinicco A, Sabbatani S, Marangolo M, Zagni R, Clerici M, Fo`a R, Tirelli U, Gavosto F: Unusual malignant tumours in 49 patients with HIV infection. AIDS 3: 449–452, 1989
Serraino D, Franceschi S, Tirelli U, Monfardini S: The epidemiology of acquired immunodeficiency syndrome and associated tumours in Europe. Ann Oncol 3: 595–603, 1992
Goedert JJ, Coté TR, Virgo P, Scoppa SM, Kingma DW, GailMH, Jaffe ES, Biggar RJ: Spectrum of AIDS-associated malignant disorders. Lancet 351: 1833–1839, 1998
Rabkin CS, Yellin F: Cancer incidence in a population with a high prevalence of infection with human immunodeficiency virus type 1. J Natl Cancer Inst 86: 1711–1716, 1994
Bigner DD, Pegram CN: Virus-induced experimental brain tumors and putative associations of viruses with human brain tumors; a review. Adv Neurol 15: 57–83, 1976
Luppi M, Barozzi P, Maiorana A, Maiorana A, Marasca R, Trovato R, Fano R, Ceccherini-Nelli L, Torelli G: Human herpesvirus-6: a survey of presence and distribution of genomic sequences in normal brain and neuroglial tumors. J Med Virol 47: 105–111, 1995
Walker JS, Bigner DD: Virus-Induced Brain Tumors. In: Wilkins RH, Rengachary 55 (eds) Neurosurgery. McGraw-Hill Book Company, New York, 1985, pp 522–525
Walsh JW, Zimmer SG, Perdue ML: Role of viruses in the induction of primary intracranial tumors. Neurosurgery 10: 643–662, 1982
ZuRhein GM: The role of human viruses in neurooncogenesis. J Neuropathol Exp Neurol Suppl.: 50S–52S, 1995
Ibelgaufts H, JonesKW, Maitland N, Shaw JF: Adenovirusrelated RNA sequences in human neurogenic tumours. Acta Neuropathol 56: 113–117, 1982
Ibelgaufts H, Jones KW: Papovavirus-related RNA sequences in human neurogenic tumours. Acta Neuropathol 56: 118–122, 1982
Benjamin SP, McCormack U, Dohn DF: Coexistent herpes simplex encephalitis and malignant astrocytoma. A clinicopathologic study of three cases. Cleveland Clin Quart 39: 135–143, 1972
Conant K, Tornatore C, Atwood W, Meyers K, Traub R, Major EO: In vivo and in vitro infection of the astrocyte by HIV-1. Adv Neuroimmunol 4: 287–289, 1994
Nath A, Hartloper V, Furer M, Fowke KR: Infection of human fetal astrocytes with HIV-1: viral tropism and the role of cell to cell contact in viral transmission. J Neuropathol Exp Neurol 54: 320–330, 1995
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Büttner, A., Weis, S. Non-lymphomatous Brain Tumors in HIV-1 Infection: A Review. J Neurooncol 41, 81–88 (1999). https://doi.org/10.1023/A:1006137219766
Issue Date:
DOI: https://doi.org/10.1023/A:1006137219766