艾滋病相关型Kaposi肉瘤1例

A Cases of AIDS Patient Related Kaposi’s Sarcoma

患者男,32岁。口腔上颚出现褐色增生物、面颈部及阴茎出现褐色斑块和结节4个月,周身乏力3个月。皮损组织病理示:真皮血管扩张,充血明显,部分呈出芽状生长,间质内可见小灶性梭型细胞。血清抗HIV抗体阳性;RPR(-);球蛋白52.2g/L;免疫全项:CD4:12细胞/μL;CD8:430细胞/μL;CD4/CD8:0.03;β微球蛋白6.4mg/L;A/G:0.7;WBC:1.4×109/L,L:0.5×109/L。诊断:艾滋病相关型Kaposi肉瘤。

A 32-year-old male presented with brown lump on his Palate, and brown plaques , nodules on his face and penis about 4 months, and also felt lack power for 3 months. Histopathological examination showed that there were lots of vascular dilatation and congestion in the dermis, part of them presented budding shaped growth. There were small spindle cells gather together in the interstice. HIV （＋）; RPR （-）; Globulins ： 52.2 g/L; Immunonhistochemieal examination showed： CD4：12 cells/μL; CD8：430 ceils/μL; CD4/CD8： 0.03; Beta microglobulin： 6.4mg/L; A/G 0.7; WBC 1.4×10^9/L; L 0.5×10^9/L. Diagnosis： AIDS related Kaposi＇s sarcoma.