NUMERO: #20240230

Título: TERMINAL KAPOSIS SARCOMA IN A HIV-POSITIVE PATIENT: CASE REPORT

Nome do Apresentador: Victor Philip Nogueira FARIAS

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Odontologia hospitalar

Resumo: Patients with advanced AIDS may present with various neoplasms, complicating histopathological diagnosis. We report the case of a 28-year-old man with late diagnosis of HIV. Upon hospital admission, he had a viral load of 69.100, CD4 count of 402, and pneumonia diagnosis. We observed multiple violaceous lesions throughout the body, already diagnosed as Kaposis sarcoma, pinpoint violaceous lesions on the palate, and purple plaques on the gingival mucosa. Preoperative exams included a complete blood count and PTA, with administration of vitamin K for incisional biopsy, and during the procedure, two units of fresh plasma were administered. Histopathology concluded it was suggestive of pleomorphic rhabdomyosarcoma. Additional immunohistochemical study was necessary using desmin, myogenin, SMA, CDK4, MDM2, CD31, CD34, factor VIII, KI67, SOX10, concluding the diagnosis of Kaposis sarcoma due to the tumors vascular differentiation expression. The patient had a poor outcome, requiring intensive care and died shortly after.

Autor 1:  Victor Philip Nogueira FARIAS

E-mail 1:  [email protected]

Autor 2:   Mariah BURLAMAQUI Guimarães

E-mail 2:  [email protected]

Autor 3 :  Daniel Amorim de SOUZA

E-mail 3:  [email protected]

Autor 4:  Mary Elsa ALECRIM

E-mail 4:  [email protected]

Autor 5:  Milton César FREIRE

E-mail 5:  [email protected]

Autor 6:  Tiago Novaes PINHEIRO

E-mail 6:  [email protected]

Autor 7:  Lioney Nobre CABRAL

E-mail 7:  [email protected]