AIDS-associated Primary Nasopharyngeal Kaposi Sarcoma-Case Report

後天免疫缺乏症候群相關之原發性鼻咽卡波西氏肉瘤－病例報告

黃鈺婷(Yu-Ting Huang) ； 黃承楨(Cheng-Chen Huang) ； 蘇茂昌(Mao-Chang Su) ； 辛宗翰(Chung-Han Hsin)

《台灣耳鼻喉頭頸外科雜誌》 53卷4期 (2018/12) Pp. 171-174

https://doi.org/10.6286/jtohns.201812_53(4).171

摘要

Kaposi sarcoma (KS) is an acquired immunodeficiency syndrome (AIDS)-associated malignancy, mainly affects the skin on the lower extremities and rarely in the mucosa of head and neck. The KS of the head and neck region usually involves the oral cavity, nasal cavity, oropharynx and conjunctiva but it can also be found in pharynx or larynx. However, the nasopharynx is extremely rare, as only a few cases has been previously reported in the literature. We presented a rare case of primary Kaposi sarcoma arising from the nasopharynx in a 33-year-old AIDS man, who presented with frequent blood-tinged sputum and nasal obstruction. Thereafter the patient was successfully managed with low-dose radiotherapy and highly active antiretroviral therapy without recurrence during the 1.5-year follow up period.

關鍵字

Kaposi sarcoma ； nasopharynx ； acquired immunodeficiency syndrome ； AIDS

並列摘要

卡波西氏肉瘤是後天免疫缺乏症候群（愛滋病）相關的惡性腫瘤，主要影響下肢皮膚且鮮少出現在頭頸部區域。頭頸部的卡波西氏肉瘤通常出現於口腔、鼻腔、口咽及結膜但也可在咽喉被發現。然而，出現在鼻咽部的卡波西氏肉瘤實屬非常罕見，目前國内外參考資料僅有3篇病例報告。本篇病例報告為1名33歲的愛滋病患者，因近期出現頻繁的痰中帶血及鼻塞症狀前來就診，内視鏡發現鼻咽部易出血腫瘤，經切片證實為鼻咽部卡波西氏肉瘤，爾後接受低劑量放射線治療及雞尾酒療法控制後經1.5年追蹤仍無復發跡象。

並列關鍵字

Kaposi sarcoma ； nasopharynx ； acquired immunodeficiency syndrome ； AIDS（卡波西氏肉瘤 ； 鼻咽部 ； 後天免疫缺乏症候群 ； 愛滋病）