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Pulmonary Kaposi's sarcoma in pregnancy.
- Source :
-
American journal of perinatology [Am J Perinatol] 2004 Aug; Vol. 21 (6), pp. 355-63. - Publication Year :
- 2004
-
Abstract
- Kaposi's sarcoma in human immunodeficiency virus (HIV) -infected women, often misdiagnosed, has an aggressive clinical course, with high rates of visceral involvement and decreased survival. We describe the first case of isolated pulmonary Kaposi's sarcoma in pregnancy. A nulliparous woman was diagnosed with AIDS after presenting at 25 weeks gestation with a cough and multiple pulmonary nodules. Extensive pulmonary evaluation was nondiagnostic until thorascopic lung biopsy revealed Kaposi's sarcoma. Despite combination antiretroviral therapy, her malignancy progressed. Labor was induced at 33.5 weeks gestation for nonreassuring fetal testing. She received chemotherapy postpartum and remains in remission. Pulmonary Kaposi's sarcoma should be considered in the differential diagnosis of HIV-infected obstetric patients with respiratory compromise. Definitive diagnosis is necessary given the aggressive clinical course that is potentially responsive to therapy.
- Subjects :
- Acquired Immunodeficiency Syndrome pathology
Adult
Diagnosis, Differential
Female
Humans
Lung Neoplasms etiology
Lung Neoplasms pathology
Pregnancy
Pregnancy Complications, Infectious pathology
Pregnancy Complications, Neoplastic etiology
Pregnancy Complications, Neoplastic pathology
Sarcoma, Kaposi etiology
Sarcoma, Kaposi pathology
Time Factors
Acquired Immunodeficiency Syndrome complications
Lung Neoplasms diagnosis
Pregnancy Complications, Infectious diagnosis
Pregnancy Complications, Neoplastic diagnosis
Sarcoma, Kaposi diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0735-1631
- Volume :
- 21
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- American journal of perinatology
- Publication Type :
- Academic Journal
- Accession number :
- 15311373
- Full Text :
- https://doi.org/10.1055/s-2004-831880