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Spectrum of HIV Associated Malignancies: A Retrospective Study of 42 Patients over a Period of 16 Years Attending a Tertiary Care Hospital

Received: 15 June 2021    Accepted: 30 June 2021    Published: 7 July 2021
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Abstract

Introduction: The Human immunodeficiency virus (HIV) infection remains a serious public health concern in India and around the world at large. Malignancy is frequent among people living with HIV (PLWH) has become the leading cause of death. The incidence of malignancy among PLWH depends on various factors; virological control under combined antiretroviral therapy (cART), the exposure to oncogenic virus is of utmost importance, which can be prevented with the implementation of specific screening programs. Drug-drug interactions between cART and oncologic treatments can lead to serious adverse effects or to a reduction in the therapeutic effects requiring close monitoring. Methods: This is a single center retrospective study conducted on 42 seropositive patients attending a tertiary care oncology department from July 2005 to June 2021 to assess the demographic profile; laboratory investigations, clinico-pathological correlation, treatment outcome and survival follow up. Results: A total of 26410 patients were registered in the department during this period, out of which 42 (0.16%) were found to be HIV positive. These included head & neck -13; uterine cervix-7; lung -4; esophagus-4; NHL-4; recto sigmoid -3; breast-3; gall bladder; endometrium, choriocarcinoma (CCA) and acute myeloid leukemia (AML) one each. Conclusion; Seropositive patients often present in advanced stage of disease but have a good prognosis if treated appropriately with anti-retroviral therapy (ART). Very few studies have been published in India regarding the incidence of malignancy in HIV patients credited as one of the largest study published till date.

Published in Cancer Research Journal (Volume 9, Issue 3)
DOI 10.11648/j.crj.20210903.11
Page(s) 131-139
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

HIV, NADC, ADC, Kaposi Sarcoma, NHL, Oral Squamous Cell Carcinoma, Immune Checkpoint Inhibitor

References
[1] Centers for Disease Control (CDC). Update on acquired immune deficiency syndrome (AIDS)--United States. MMWR MorbMortal Wkly Rep 1982; 31 (37): 507-8, 513-4.
[2] Classification system for human T-lymphotropic virus type III/lymphadenopathy-associated virus infections. Centers for Disease Control, U.S. Department of Health and Human Services. Ann Intern Med 1986; 105: 234-7.
[3] Park. Text book of Preventive and Social Medicine, Chapter IV – surface Infections –AIDS. 2019 pp. 371-384.
[4] Zwane NB, Mohangi GU and Shangase SL. Head and Neck Cancers among HIV-positive patients: A five year retrospective study from a Johannesburg hospital, South Africa. South African Dental Journal 2018; 73 (3): 121-126.
[5] Purgina B, Pantanowitz L, and Seethala RR. A Review of Carcinomas Arising in the Head and Neck Region in HIV Positive Patients. Pathology Research International 2011; Article ID 469150, 12 pages doi: 10.4061/2011/469150.
[6] Arnold JD, Byrne ME, Monroe AK and Abbott SE. The risk of anal carcinoma after anogenital warts in adults living with HIV. JAMA Dermatol. 2021; 157 (3): 283-289. doi: 10.1001/jamadermatol.2020.5252.
[7] Re A, Cattaneo C and Rossi G. HIV and lymphoma: from Epidemiology to clinical management. Mediterranean J of Hemato & Infectious Diseases. 2019; 11: e 2019004.
[8] Forghieri F, Nasillo V, Bettelli F et al. Review Acute Myeloid Leukemia in Patients Living with HIV Infection: Several Questions, Fewer Answers. Int. J. Mol. Sci. 2020; 21: 1081; doi: 10.3390/ijms21031081.
[9] Barnardt P and Relling M. Gestational Trophoblastic Neoplasm and Women Living With HIV and/or AIDS. South African Journal HIV Med. 2015; 16 (1): 344.
[10] Rachel A. Ignacio B, Lin LL, Rajdev L and Chiao E. Evolving Paradigms in HIV Malignancies: Review of Ongoing Clinical Trials. J National Comprehensive Cancer Network 2018; 16 (8): 1018–1026.
[11] R K Tanwar, Bhati R, Soni N, Dangayach SK and Saxena B. Situs Inversus Totalis associated with Cancer: Report of three cases and Review of literature. Medical Journal Dr D Y Patil Vidhyapeeth. 2019; 12 (2): 154-168.
[12] Sonkaria M, Tanwar RK, Saxena B, Vashishtha N, Singh RK. Primary breast lymphoma: A case series and review.. Indian J Case Reports. 2020; 6 (6): 288-291.
[13] Gupta AK, Li B, Cerniglia GJ, Ahmed MS, Hahn SM and Maity A. The HIV Protease Inhibitor Nelfinavir Downregulates Akt Phosphorylation by Inhibiting Proteasomal Activityand Inducing the Unfolded Protein Response. Neoplasia 2007; 9 (4): 271–278.
[14] Lin A and Maity A. Molecular Pathways: A Novel Approach to Targeting Hypoxia and Improving Radiotherapy Efficacy via Reduction in Oxygen Demand. Clinical Cancer Research; 2015; 21 (9): 1995–2000.
[15] Nayyar SS, Thiagarajan S, Malik A, et al. Head and neck squamous cell carcinoma in HIV, HBV and HCV seropositive patients – Prognosis and its predictors. Journal of Cancer Research and Therapeutics 2020; 16 (3): 619-23.
[16] Ceccarelli M, Rullo EV, Facciolà A, et al. Head and neck squamous cell carcinoma and its correlation with human papillomavirus in people living with HIV: a systematic review. Oncotarget, 2018; 9 (24): 17171-17180.
[17] D’Andrea F, Pellicano GF, Rullo EV et al. Cervical Cancer in women living with HIV: A review of the literature. World Cancer Research Journal 2019; 6: e 1224.
[18] Grover S, Mehta P, Wang Q et al. Association between CD-4 count and chemo radiation therapy outcomes among cervical cancer patients with HIV. Journal of Acquired Immune deficiency Syndromes: 2020; 85 (2): 201-208.
[19] Shrivastava SK, Engineer R, Rajadhyaksha S and Dinshaw KA. HIV infection and invasive cervical cancers, treatment with radiation therapy: Toxicity and outcome (Green Journal). DOI: https://doi.org/10.1016/J.Radonc. 2004; 11.006.
[20] Levinson KL, Riedel DJ, Ojalvo LS et al. Gynecologic Cancer in HIV infected women: Treatment and outcomes in a multi-institutional cohort. AIDS 2018; 32 (2): 171-177.
[21] Ashley I. Choriocarcinoma in a patient with human immunodeficiency virus: case presentation and review of the literature. The Mount Sinai Journal of Medicine, New York 2002; 69 (5): 334-337.
[22] Tanwar RK, Saxena B, Garg R, Goyal H, Deepak D. Gestational Trophoblastic Neoplasia: A Retrospective Study of 23 Cases. Cancer Research Journal 2020; 8 (3): 45-50.
[23] Sigel K, Makinson A and Thaler J. Lung Cancer in Persons with HIV. Curr Opin HIV AIDS. 2017; 12 (1): 31–38. doi: 10.1097/COH.0000000000000326.
[24] Hooker CM, Meguid RA, Hulbert A et al. Human immunodeficiency virus infection as a prognostic factor in surgical patients with non- small cell lung cancer. Ann Thorac Surg 2012; 93: 405-412.
[25] Powel T, Matthews G and Bower M. AIDS related systemic non-Hodgkin’s lmphoma. Sexually Transmitted Infections 2000; 76: 335-341.
[26] Oishi N, Bagan JV, Javier K and Zapater E. Head and Neck Lymphoma in HIV Patients: A Clinical Perspective. Int. Arch Otorhinolaryngol 2017; 21: 300-407.
[27] Huang J, Tang D, Xu Y, Wang X, Yu C and Dang Y. Head trauma complicated with primary cranial vault lymphoma. A case report. Medicine 2019; 98: 7 (e 14465).
[28] Choudhary P, Kalwaniya S, Agarwal L and Saxena S. Primary multifocal skull lymphoma in an acquired immunodeficiency syndrome patient. West African Journal of Radiology 2015; 22 (2): 107-109.
[29] Thomas AS, Schwartz M and Quigley E. Gastrointestinal Lymphoma: the new mimic. BMJ Open Gastroenterology 2019; 6: e000320.
[30] Palan M, Shousha S, Krell J, and Stebbing J. Case Report. Breast Cancer in the Setting of HIV. Pathology Research International Volume 2011; Article ID 925712: 4 pages. Doi: 10.4061/2011/925712.
[31] Chirkut S. Breast cancer, human immunodeficiency virus and highly active antiretroviral treatment; implications for a high-rate seropositive region. Oncology Reviews 2019; 13: 376.
[32] O’Neill TJ, Nguemo JD, Tynan AM, Burchell AN and Antoniou T. Risk of Colorectal Cancer and Associated Mortality in HIV: A Systematic Review and Meta-Analysis. J Acquir Immune Defic Syndr 2017; 75: 439-447.
[33] Suneja G. New NCCN Guidelines: Cancer Management in People Living With HIV. J National Comprehensive Cancer Network 2018; 16 (5.5): 597–599.
Cite This Article
  • APA Style

    Rajendra Kumar Tanwar, Bharti Saxena, Manu Singh Tanwar, Abhirup Chatterjee, Harsh Goyal, et al. (2021). Spectrum of HIV Associated Malignancies: A Retrospective Study of 42 Patients over a Period of 16 Years Attending a Tertiary Care Hospital. Cancer Research Journal, 9(3), 131-139. https://doi.org/10.11648/j.crj.20210903.11

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    ACS Style

    Rajendra Kumar Tanwar; Bharti Saxena; Manu Singh Tanwar; Abhirup Chatterjee; Harsh Goyal, et al. Spectrum of HIV Associated Malignancies: A Retrospective Study of 42 Patients over a Period of 16 Years Attending a Tertiary Care Hospital. Cancer Res. J. 2021, 9(3), 131-139. doi: 10.11648/j.crj.20210903.11

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    AMA Style

    Rajendra Kumar Tanwar, Bharti Saxena, Manu Singh Tanwar, Abhirup Chatterjee, Harsh Goyal, et al. Spectrum of HIV Associated Malignancies: A Retrospective Study of 42 Patients over a Period of 16 Years Attending a Tertiary Care Hospital. Cancer Res J. 2021;9(3):131-139. doi: 10.11648/j.crj.20210903.11

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  • @article{10.11648/j.crj.20210903.11,
      author = {Rajendra Kumar Tanwar and Bharti Saxena and Manu Singh Tanwar and Abhirup Chatterjee and Harsh Goyal and Naveen Saxena and Raghuveer Singh and Madhu Saxena and Uma Shankar Shukla},
      title = {Spectrum of HIV Associated Malignancies: A Retrospective Study of 42 Patients over a Period of 16 Years Attending a Tertiary Care Hospital},
      journal = {Cancer Research Journal},
      volume = {9},
      number = {3},
      pages = {131-139},
      doi = {10.11648/j.crj.20210903.11},
      url = {https://doi.org/10.11648/j.crj.20210903.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20210903.11},
      abstract = {Introduction: The Human immunodeficiency virus (HIV) infection remains a serious public health concern in India and around the world at large. Malignancy is frequent among people living with HIV (PLWH) has become the leading cause of death. The incidence of malignancy among PLWH depends on various factors; virological control under combined antiretroviral therapy (cART), the exposure to oncogenic virus is of utmost importance, which can be prevented with the implementation of specific screening programs. Drug-drug interactions between cART and oncologic treatments can lead to serious adverse effects or to a reduction in the therapeutic effects requiring close monitoring. Methods: This is a single center retrospective study conducted on 42 seropositive patients attending a tertiary care oncology department from July 2005 to June 2021 to assess the demographic profile; laboratory investigations, clinico-pathological correlation, treatment outcome and survival follow up. Results: A total of 26410 patients were registered in the department during this period, out of which 42 (0.16%) were found to be HIV positive. These included head & neck -13; uterine cervix-7; lung -4; esophagus-4; NHL-4; recto sigmoid -3; breast-3; gall bladder; endometrium, choriocarcinoma (CCA) and acute myeloid leukemia (AML) one each. Conclusion; Seropositive patients often present in advanced stage of disease but have a good prognosis if treated appropriately with anti-retroviral therapy (ART). Very few studies have been published in India regarding the incidence of malignancy in HIV patients credited as one of the largest study published till date.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Spectrum of HIV Associated Malignancies: A Retrospective Study of 42 Patients over a Period of 16 Years Attending a Tertiary Care Hospital
    AU  - Rajendra Kumar Tanwar
    AU  - Bharti Saxena
    AU  - Manu Singh Tanwar
    AU  - Abhirup Chatterjee
    AU  - Harsh Goyal
    AU  - Naveen Saxena
    AU  - Raghuveer Singh
    AU  - Madhu Saxena
    AU  - Uma Shankar Shukla
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    JF  - Cancer Research Journal
    JO  - Cancer Research Journal
    SP  - 131
    EP  - 139
    PB  - Science Publishing Group
    SN  - 2330-8214
    UR  - https://doi.org/10.11648/j.crj.20210903.11
    AB  - Introduction: The Human immunodeficiency virus (HIV) infection remains a serious public health concern in India and around the world at large. Malignancy is frequent among people living with HIV (PLWH) has become the leading cause of death. The incidence of malignancy among PLWH depends on various factors; virological control under combined antiretroviral therapy (cART), the exposure to oncogenic virus is of utmost importance, which can be prevented with the implementation of specific screening programs. Drug-drug interactions between cART and oncologic treatments can lead to serious adverse effects or to a reduction in the therapeutic effects requiring close monitoring. Methods: This is a single center retrospective study conducted on 42 seropositive patients attending a tertiary care oncology department from July 2005 to June 2021 to assess the demographic profile; laboratory investigations, clinico-pathological correlation, treatment outcome and survival follow up. Results: A total of 26410 patients were registered in the department during this period, out of which 42 (0.16%) were found to be HIV positive. These included head & neck -13; uterine cervix-7; lung -4; esophagus-4; NHL-4; recto sigmoid -3; breast-3; gall bladder; endometrium, choriocarcinoma (CCA) and acute myeloid leukemia (AML) one each. Conclusion; Seropositive patients often present in advanced stage of disease but have a good prognosis if treated appropriately with anti-retroviral therapy (ART). Very few studies have been published in India regarding the incidence of malignancy in HIV patients credited as one of the largest study published till date.
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Author Information
  • Department of Radiation Oncology, Rajasthan University of Health Sciences, Jaipur, India

  • Department of Obstetrics and Gynecology, Rajasthan University of Health Sciences, Jaipur, India

  • Department of Conservative Dentistry & Endodontics, Maharishi Markandeshwar University, Ambala, India

  • Department of General Dentistry, Rajasthan University of Health Sciences, Jaipur, India

  • Department of Radiation Oncology, Rajasthan University of Health Sciences, Jaipur, India

  • Department of Microbiology, Rajasthan University of Health Sciences, Jaipur, India

  • Department of Community Medicine, Rajasthan University of Health Sciences, Jaipur, India

  • Department of Anesthesiology, Rajasthan University of Health Sciences, Jaipur, India

  • Department of Community Medicine, Rajasthan University of Health Sciences, Jaipur, India

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