Kaposi’s sarcoma in HIV-negative patient with primary myelofibrosis
https://doi.org/10.35754/0234-5730-2021-66-3-433-444
Abstract
Introduction. Kaposi’s sarcoma (КS) is a multi-focal malignant tumor of vascular origin with a predominant lesion of the skin, involving internal organs and lymph nodes. Epidemic and immunosuppressive variants of the disease are considered to be the most studied and common. The main reason for the development of the immunosuppressive variant is the use of immunosuppressive drugs in patients after transplantation of solid organs. Descriptions of the development of Kaposi’s sarcoma in patients with diseases of the hematopoietic system are rare.
Aim — to describe a rare combination of a malignant tumor of vascular origin (Kaposi’s sarcoma) and a chronic myeloproliferative disease: primary myelofibrosis.
Main findings. To verify the diagnosis of Kaposi’s sarcoma in a patient with primary myelofibrosis, the following were used: histological, immunohistochemical studies of skin biopsies and the polymerase chain reaction method with detection of a fl uorescent signal in “real time” in biological material samples (peripheral blood, smear from the mucous membrane of the oropharynx, skin biopsies from lesions) with quantitative determination of the activity of the human herpes virus 8. A comprehensive examination made it possible to establish the final diagnosis of multiple malignant neoplasms and recommend treatment.
About the Authors
E. K. EgorovaRussian Federation
Elena K. Egorova*, Cand. Sci. (Med.), Hematologist at the Department of Standartization of Treatment Methods
125167, Moscow
A. L. Melikyan
Russian Federation
Anait L. Melikyan, Dr. Sci. (Med.), Head of the Department of Standartization of Treatment Methods
125167, Moscow
I. N. Subortseva
Russian Federation
Irina N. Subortseva, Cand. Sci. (Med.), Researcher, Oncologist at the Department of Standartization of Treatment Methods
125167, Moscow
E. A. Domonova
Russian Federation
Elvira A. Domonova, Cand. Sci. (Biol.), Senior Researcher at the Department of Molecular Diagnostics and Epidemiology, Central Research Institute of Epidemiology
111123, Moscow
O. Y. Silveystrova
Russian Federation
Olga Yu. Silveystrova, Junior Researcher at the Department of Molecular Diagnostics and Epidemiology, Central Research Institute of Epidemiology
111123, Moscow
D. I. Chebotarev
Russian Federation
Dmitry I. Chebotarev, Pathologist at the Pathology Department
125167, Moscow
A. M. Kovrigina
Russian Federation
Alla M. Kovrigina, Dr. Sci. (Biol.), Head of the Pathology Department
125167, Moscow
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Review
For citations:
Egorova E.K., Melikyan A.L., Subortseva I.N., Domonova E.A., Silveystrova O.Y., Chebotarev D.I., Kovrigina A.M. Kaposi’s sarcoma in HIV-negative patient with primary myelofibrosis. Russian journal of hematology and transfusiology. 2021;66(3):433-444. (In Russ.) https://doi.org/10.35754/0234-5730-2021-66-3-433-444