Aerodigestive cancers in HIV infection

Missak Haigentz

Research output: Contribution to journalReview article

29 Scopus citations

Abstract

Purpose of review: Aerodigestive (lung, head and neck) cancers are among the most prevalent and deadly neoplasms worldwide, and the incidence rates are rising. Given the improvements in life expectancy of persons with HIV/AIDS when treated with highly active antiretroviral agents, persons with HIV infection are therefore increasingly likely to develop these malignancies. This chapter focuses on the epidemiology of these malignancies and reviews the most recent literature and current understanding of the causes and treatment of these malignancies in HIV-positive populations. Recent findings: Aerodigestive neoplasms in patients with HIV infection are associated with younger age at diagnosis, cigarette smoking, advanced stage at presentation, and a more aggressive clinical course. The causes of these cancers, aside from the traditional risk factors of tobacco and alcohol exposure, are not clear. Although these neoplasms are non-AIDS defining, factors that might contribute to risk include HIV-related immunosuppression and co-infection with high-risk human papillomavirus subtypes. Summary: With continued improvements in therapies for HIV, the expected increase in incidence and mortality of persons with HIV infection from aerodigestive malignancies will likely become a major public health concern. Given the younger age of HIV-infected patients with these malignancies and the apparently higher rates of smoking among HIV-positive individuals, aggressive smoking cessation efforts should be directed to this high-risk population.

Original languageEnglish (US)
Pages (from-to)474-478
Number of pages5
JournalCurrent Opinion in Oncology
Volume17
Issue number5
DOIs
StatePublished - Sep 1 2005

Keywords

  • Acquired immunodeficiency syndrome
  • Head and neck cancer
  • Human immunodeficiency virus
  • Human papillomavirus
  • Lung cancer

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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