Abstract

With the wide use of combination antiretroviral therapy (cART), the life expectancy of HIV-infected individuals drastically improved. However, HIV infection and HIV-associated cancers were the most common causes of death in the HIV-infected populations. The HIV-associated cancers are divided into acquired immune deficiency syndrome (AIDS)-defining and non-AIDS-defining cancers based on the incidence among the HIV-infected patients. Among HIV-associated cancers, acquired immune deficiency syndrome-related lymphoma (ARL) is still the most common condition and the leading cause of HIV/AIDS-related deaths. Diffuse large B-cell lymphoma (DLBCL) and Burkitt’s lymphoma (BL) are the most common subtypes of the ARL. Although Hodgkin’s lymphoma (HL) is not considered as an AIDS-defining cancer, incidence of HL in HIV-infected individuals is higher than the general population. The review summarizes the new progress in the treatment of HIV-associated lymphoma.

Highlights

  • According to the 1993 revised classification system for human immunodeficiency virus (HIV) infection, HIV-associated cancers are divided into acquired immune deficiency syndrome (AIDS)defining and non-AIDS-defining cancers based on the coincidence among HIV-infected patients

  • Since 1996, with the wide use of combination antiretroviral therapies, the incidence of malignant cancers in people living with HIV (PLWHIV) has decreased significantly

  • The rituximab plus standard chemotherapy (R-CHOP) regimen chemotherapy only improved the complete response rate (CR) and did not result in a higher progression-free survival (PFS) and overall survival (OS) time in patients with the HIV-positive Diffuse large B-cell lymphoma (DLBCL) compared with the CHOP regime chemotherapy [20]

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Summary

INTRODUCTION

According to the 1993 revised classification system for human immunodeficiency virus (HIV) infection, HIV-associated cancers are divided into acquired immune deficiency syndrome (AIDS)defining and non-AIDS-defining cancers based on the coincidence among HIV-infected patients. DLBCL is the most common subtype of B-cell lymphoma or NHL in HIV-negative patients [3]. Since 1996, with the wide use of cART, the incidence of NHL declined to 1.8 per 1000 person-years in 2002-2006 [4, 5]. Before the cART, the DLBCL and primary central nervous system lymphoma (PCNSL) were the most common cancers, with an incidence of 4.53 and 2.33 per 1000 person-years, respectively. The DLBCL and BL were the most common cancers, with an incidence of 1.20 and 0.32 per 1000 person-years, respectively [6, 7]. Several other studies have shown that the most common subtypes of the ARL is the DLBCL, followed by BL [9,10,11,12,13,14]. The review focuses on the progress in the treatment of the above-mentioned HIVassociated lymphoma

FRONT LINE TREATMENT OF ARL
RELAPSED AND REFRACTORY ARL
CONCLUSIONS
Findings
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