Cáncer en personas que viven con VIH-SIDA en un hospital público de referencia en Perú

Lucía Maryelena Mendoza-Mori; Jim Brian Valenzuela-Medina; Eduardo Gotuzzo; Fernando Alonso Mejía-Cordero; Elsa Violeta González-Lagos

doi:10.17843/rpmesp.2021.382.6341

Authors

Lucía Maryelena Mendoza-Mori Instituto de Medicina Tropical “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia, Lima, Perú.Médico Cirujano https://orcid.org/0000-0002-3393-2619
Jim Brian Valenzuela-Medina Instituto de Medicina Tropical “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia, Lima, Perú.Médico Cirujano https://orcid.org/0000-0002-8121-9367
Eduardo Gotuzzo Instituto de Medicina Tropical “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia, Lima, Perú.Médico especialista en enfermedades infecciosas y tropicales https://orcid.org/0000-0003-1747-4352
Fernando Alonso Mejía-Cordero Instituto de Medicina Tropical “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia, Lima, Perú.Médico especialista en enfermedades infecciosas y tropicales https://orcid.org/0000-0001-8429-8833
Elsa Violeta González-Lagos Instituto de Medicina Tropical “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia, Lima, Perú.Médico Cirujano, Magister en Epidemiología Clínica https://orcid.org/0000-0002-8543-8188

DOI:

https://doi.org/10.17843/rpmesp.2021.382.6341

Keywords:

HIV, AIDS, Neoplasms, Latin America

Abstract

This study was carried out to describe and compare the demographic, clinical, and therapeutic characteristics of HIV patients who developed some cancer. We identified 276 cancer cases diagnosed at Hospital Cayetano Heredia between 2000 and 2018. 80,8% (223/276) had AIDS-defining-cancers (ADCs), being Kaposi's Sarcoma the most frequent type; meanwhile, among non-AIDS-defining-cancers (NADCs), the most frequent was Hodgkin lymphoma. The median age was 36,5 years, being highest among the cases diagnosed with NADCs. Concerning CD4 lymphocyte counts, the median among ADCs was much lower than NADCs, 87,5 cells/μl and 216 cells/μl, respectively. Therefore, NADCs cases have a longer history of HIV infection, and an older age at cancer diagnosis, as well as higher CD4 cells counts.