ヒト免疫不全ウイルス感染者に生じた下唇扁平上皮癌の1例

Recent advances in anti-retroviral therapy (ART) have led to patients with HIV infection living longer. The frequency of non-AIDS-defining malignancies (NADM), including head and neck cancer, has increased. In this study, we report our experience with the treatment of lower lip carcinoma with HIV in...

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Published in日本口腔外科学会雑誌 Vol. 66; no. 7; pp. 324 - 329
Main Authors 重冨, 俊夫, 總山, 貴子, 萩野, 浩子, 宇佐美, 雄司, 荒川, 美貴子, 松浦, 由佳
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.07.2020
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.66.324

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Abstract Recent advances in anti-retroviral therapy (ART) have led to patients with HIV infection living longer. The frequency of non-AIDS-defining malignancies (NADM), including head and neck cancer, has increased. In this study, we report our experience with the treatment of lower lip carcinoma with HIV infection. The patient was a 64-year-old-man with HIV infection. He referred to our clinic because of a lower lip tumor. We performed biopsy, and the tumor was diagnosed as squamous cell carcinoma. He received chemotherapy followed by surgical operation, tracheostomy, functional neck dissection, lower lip carcinoma resection, and reconstruction of the tongue, with no severe events. There has been no recurrence or metastasis during about 2 years.
AbstractList Recent advances in anti-retroviral therapy (ART) have led to patients with HIV infection living longer. The frequency of non-AIDS-defining malignancies (NADM), including head and neck cancer, has increased. In this study, we report our experience with the treatment of lower lip carcinoma with HIV infection. The patient was a 64-year-old-man with HIV infection. He referred to our clinic because of a lower lip tumor. We performed biopsy, and the tumor was diagnosed as squamous cell carcinoma. He received chemotherapy followed by surgical operation, tracheostomy, functional neck dissection, lower lip carcinoma resection, and reconstruction of the tongue, with no severe events. There has been no recurrence or metastasis during about 2 years.
Author 萩野, 浩子
重冨, 俊夫
總山, 貴子
松浦, 由佳
宇佐美, 雄司
荒川, 美貴子
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References 14) 鯉渕智彦 (研究分担者), 白阪琢磨 (研究代表者),H29年度厚生労働行政推進調査事業費補助金エイズ対策制作研究事業 HIV感染症及びその合併症の課題を克服する研究班:Guideline 抗HIV治療ガイドライン2018年3月.Available at : http://hivjp.org/guidebook/. Accessd Janurary 20, 2020.
16) 岡田誠治:HIV-1感染症と悪性腫瘍.薬事 54: 51-57, 2012.
13) 味澤 篤:診断と治療のTopics 非AIDS指標悪性腫瘍.HIV感染症AIDS治療 6: 14-18, 2015.
3) Grulich AE, van Leeuwen MT, et al : Incidence of cancers with HIV/AIDS compared with immunosuppressed transplant recipients : a meta analysis. Lancet 370: 59-67, 2007.
17) 井上 聡,森 武生,他:HIV陽性患者に対する外科治療.日臨外会誌 61: 585-598, 2000.
18) Garcia F, Plana M, et al : Dynamics of viral load rebound and immunological changes after stopping effective antiretroviral therapy. AIDS 13: F79-86, 1999.
1) 加藤哲朗:HIVと悪性腫瘍.日エイズ会誌 12: 137-145, 2011.
21) 久山佳代, 松本 敬, 他:外向性発育を呈する口腔粘膜腫瘍性病変の細胞学的検討.日臨細胞会誌 49: 177-184, 2010.
4) Smith CJ, Ryom L, et al : Trends in underlying causes of death in people with HIV from 1999 to 2011 (D:A:D) : a multicohort collaboration. Lancet 384: 241-248, 2014.
12) 加藤哲郎:診断と治療のTopics 非AIDS指標悪性腫瘍.HIV感染症AIDS治療 2: 34-40, 2011.
5) 今村顕史, 田中 勝:非AIDS指標悪性腫瘍 (NADM/NADC).日本医事新報 4904: 34-38, 2018.
20) Amini S, Khalili K, et al : Effect of HIV-1 Vre on cell cycle regulators. DNA Cell Biol 23: 249-260, 2004.
19) Li CJ, Wang C, et al : Reciprocal modulations between p53 and Tat of human immunodeficiency virus type1. Proc Natl Acad Sci USA 92: 5461-5464, 1995.
7) McLemore MS, Haigentz M Jr, et al : Head and neck squamous cell carcinoma in HIV-positive patients: a preliminary investigation of viral associations. Head Neck Pathol 4: 97-105, 2010.
8) Deeken JF, Tjen ALA, et al : The rising challenge of non-AIDS-defining cancers in HIV-infected patients. Clin Infect Dis 55: 1228-1235 2012.
9) 小池剛史, 鎌田孝広, 他:HIV 陽性患者に発生した舌癌に対し根治切除および術後放射線療法を行った1例.口腔腫瘍 23: 161-166, 2011.
22) Coghill AE, Shiels MS, et al : Elevated cancer-specific mortality among HIV-infected patients in United States. J Clin Oncol 33: 2376-2383 2015.
10) 岡本拓也, 斎藤祐毅, 他:ヒト免疫不全ウイルス (HIV) 感染を合併した頭頸部癌症例.日耳鼻 121: 127-133, 2018.
15) Moses AV, Williams S, et al : Human immunodeficiency Virus infection of bone marrow endothelium reduces induction of stromal hematopoietic growth factors. Blood 87: 919-925, 1996.
6) 高松悠樹, 満屋裕明:診断と治療のTopics 喫煙: HIV感染症にとっての大きなリスク因子―タバコは始めない・吸わない・吸わせない―.HIV感染症AIDS治療 4: 23-28, 2013.
11) 白倉 聡, 杉本太郎, 他:当院におけるHIV感染を合併した頭頸部癌治療例の臨床検討.頭頸部外 28: 319-323, 2018.
2) 厚生労働省エイズ動向委員会.平成 30 (2018) 年エイズ発生動向年報 (1月1日~12月31日).Available at : https://api-net.jfap.or.jp/status/japan/nenpo. htmi. Accessd Janurary 20, 2020.
References_xml – reference: 5) 今村顕史, 田中 勝:非AIDS指標悪性腫瘍 (NADM/NADC).日本医事新報 4904: 34-38, 2018.
– reference: 8) Deeken JF, Tjen ALA, et al : The rising challenge of non-AIDS-defining cancers in HIV-infected patients. Clin Infect Dis 55: 1228-1235 2012.
– reference: 17) 井上 聡,森 武生,他:HIV陽性患者に対する外科治療.日臨外会誌 61: 585-598, 2000.
– reference: 14) 鯉渕智彦 (研究分担者), 白阪琢磨 (研究代表者),H29年度厚生労働行政推進調査事業費補助金エイズ対策制作研究事業 HIV感染症及びその合併症の課題を克服する研究班:Guideline 抗HIV治療ガイドライン2018年3月.Available at : http://hivjp.org/guidebook/. Accessd Janurary 20, 2020.
– reference: 20) Amini S, Khalili K, et al : Effect of HIV-1 Vre on cell cycle regulators. DNA Cell Biol 23: 249-260, 2004.
– reference: 10) 岡本拓也, 斎藤祐毅, 他:ヒト免疫不全ウイルス (HIV) 感染を合併した頭頸部癌症例.日耳鼻 121: 127-133, 2018.
– reference: 22) Coghill AE, Shiels MS, et al : Elevated cancer-specific mortality among HIV-infected patients in United States. J Clin Oncol 33: 2376-2383 2015.
– reference: 2) 厚生労働省エイズ動向委員会.平成 30 (2018) 年エイズ発生動向年報 (1月1日~12月31日).Available at : https://api-net.jfap.or.jp/status/japan/nenpo. htmi. Accessd Janurary 20, 2020.
– reference: 9) 小池剛史, 鎌田孝広, 他:HIV 陽性患者に発生した舌癌に対し根治切除および術後放射線療法を行った1例.口腔腫瘍 23: 161-166, 2011.
– reference: 19) Li CJ, Wang C, et al : Reciprocal modulations between p53 and Tat of human immunodeficiency virus type1. Proc Natl Acad Sci USA 92: 5461-5464, 1995.
– reference: 3) Grulich AE, van Leeuwen MT, et al : Incidence of cancers with HIV/AIDS compared with immunosuppressed transplant recipients : a meta analysis. Lancet 370: 59-67, 2007.
– reference: 1) 加藤哲朗:HIVと悪性腫瘍.日エイズ会誌 12: 137-145, 2011.
– reference: 16) 岡田誠治:HIV-1感染症と悪性腫瘍.薬事 54: 51-57, 2012.
– reference: 15) Moses AV, Williams S, et al : Human immunodeficiency Virus infection of bone marrow endothelium reduces induction of stromal hematopoietic growth factors. Blood 87: 919-925, 1996.
– reference: 12) 加藤哲郎:診断と治療のTopics 非AIDS指標悪性腫瘍.HIV感染症AIDS治療 2: 34-40, 2011.
– reference: 7) McLemore MS, Haigentz M Jr, et al : Head and neck squamous cell carcinoma in HIV-positive patients: a preliminary investigation of viral associations. Head Neck Pathol 4: 97-105, 2010.
– reference: 6) 高松悠樹, 満屋裕明:診断と治療のTopics 喫煙: HIV感染症にとっての大きなリスク因子―タバコは始めない・吸わない・吸わせない―.HIV感染症AIDS治療 4: 23-28, 2013.
– reference: 11) 白倉 聡, 杉本太郎, 他:当院におけるHIV感染を合併した頭頸部癌治療例の臨床検討.頭頸部外 28: 319-323, 2018.
– reference: 21) 久山佳代, 松本 敬, 他:外向性発育を呈する口腔粘膜腫瘍性病変の細胞学的検討.日臨細胞会誌 49: 177-184, 2010.
– reference: 18) Garcia F, Plana M, et al : Dynamics of viral load rebound and immunological changes after stopping effective antiretroviral therapy. AIDS 13: F79-86, 1999.
– reference: 13) 味澤 篤:診断と治療のTopics 非AIDS指標悪性腫瘍.HIV感染症AIDS治療 6: 14-18, 2015.
– reference: 4) Smith CJ, Ryom L, et al : Trends in underlying causes of death in people with HIV from 1999 to 2011 (D:A:D) : a multicohort collaboration. Lancet 384: 241-248, 2014.
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Snippet Recent advances in anti-retroviral therapy (ART) have led to patients with HIV infection living longer. The frequency of non-AIDS-defining malignancies (NADM),...
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SubjectTerms 下唇癌
人免疫不全ウイルス
非 AIDS指標悪性腫瘍
頭頸部癌
Title ヒト免疫不全ウイルス感染者に生じた下唇扁平上皮癌の1例
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