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KAPOSIS-SARCOMA - EPIDEMIOLOGY, PATHOGENESIS, HISTOLOGY, CLINICAL SPECTRUM, STAGING CRITERIA AND THERAPY
Author(s): TAPPERO JW, CONANT MA, WOLFE SF, BERGER TG
Source: JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY    Volume: 28    Issue: 3    Pages: 371-395    Published: MAR 1993  
Times Cited: 176     References: 312     
Abstract: The acquired immunodeficiency syndrome (AIDS) epidemic has had a profound impact on our understanding of Kaposi's sarcoma (KS). Epidemiologic features suggest a sexually transmitted cofactor in the pathogenesis of AIDS-associated KS (AIDS-KS), and several putative agents have received intense scrutiny. Cell culture studies suggest that the angiogenesis of AIDS-KS is stimulated by both human immunodeficiency virus proteins and growth factors that may be involved in the development and progression of AIDS-KS, thereby providing a rationale for new therapeutic interventions. The dermatologist is uniquely qualified to provide care for the majority of patients with KS, as many patients have cutaneous lesions amendable to local therapy (cryotherapy, intralesional therapy, simple excision). Patients requiring more aggressive local therapy (radiation therapy) or systemic therapies (interferon, chemotherapy) can be easily recognized. Standardized staging criteria provide assistance for determining appropriate local or systemic therapy and for evaluating and comparing responses to new therapies. This article reviews the epidemiology, pathogenesis, histologic features, clinical spectrum, staging criteria, and treatment of KS.
Document Type: Review
Language: English
Addresses:
1. AIDS CLIN RES CTR, SAN FRANCISCO, CA USA
2. SAN FRANCISCO GEN HOSP, SAN FRANCISCO, CA 94110 USA
3. UNIV CALIF SAN FRANCISCO, DEPT DERMATOL, SAN FRANCISCO, CA 94143 USA
Publisher: MOSBY-YEAR BOOK INC, 11830 WESTLINE INDUSTRIAL DR, ST LOUIS, MO 63146-3318
Subject Category: Dermatology
IDS Number: KQ326
ISSN: 0190-9622
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