Prognostic factors in Kaposi sarcoma, single centre experience

Author:

Değerli Ezgi1ORCID,Oruç Kerem2ORCID,Şentürk Öztaş Nihan3ORCID,Alkan Şen Gülin3ORCID,Bedir Şahin4ORCID,Demirci Nebi Serkan3ORCID,Demirelli Hulusi Fuat3ORCID

Affiliation:

1. Department of Medical Oncology Bakırköy Dr. Sadi Konuk Training and Research Hospital Istanbul Turkey

2. Department of Medical Oncology Yozgat City Hospital Yozgat Turkey

3. Department of Medical Oncology, Cerrahpasa Medical Faculty Istanbul University‐Cerrahpasa Istanbul Turkey

4. Department of Medical Oncology Bağcılar Training and Research Hospital Istanbul Turkey

Abstract

AbstractBackgroundKaposi sarcoma (KS) is a multicentric vascular and lymphatic neoplasm caused by human herpesvirus 8 (HHV‐8). It generally concerns the elderly and immunosuppressed population. Four major clinical types of KS have been described. The most common subtype is Classical KS (CKS).ObjectivesOur retrospective study aimed to better define prognostic subgroups among patients with CKS, which is the most common in our country.MethodBetween 2014 and 2020, 43 patients with CKS were treated with local excision, radiotherapy and chemotherapy. Reviewed information included demographics, clinical features, laboratory findings, treatment responses and overall survival.ResultsDuring the follow‐up, eight patients (18.6%) died of CKS. The complete response rate was 46.5%, partial response and stable disease 51.2%, and progressive disease 2.3% of all patients. Gender, haemoglobin level at diagnosis, and disseminated involvement were prognostic factors affecting survival in all patients.ConclusionWe confirmed that male gender, low haemoglobin levels, and disseminated involvement are associated with poor prognosis in CKS patients. It is the only Turkish study in which prognostic analysis was performed for this rare cancer.

Publisher

Wiley

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