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. 2008 Dec;20(4):129–132. doi: 10.4314/mmj.v20i4.10975

Table 1.

Treatment options for HIV-associated Kaposi's Sarcoma

Treatment option Reference
HAART alone Krown SE. J Clin Oncol 2004;22:399–402.
Local Therapy Excision surgery No convincing evidence [Simonart T. J Eur Acad Dermatol Venereol. 2007;
21(4):573]
Cryotherapy (surgery) Tappero JW et al. J Acquir Immune Defic Syndr 1991;4:839–846.
Radiation Kigula-Mugambe JB et al. Radiother Oncol. 2005;76:59–62.
Alitretinoin gel Walmsley S et al. J Acquir Immune Defic Syndr 1999;22:235–246
Intralesional chemotherapy Ramirez-Amador V et al. Oral Oncol. 2002;38:460–467
Laser therapy (surgery) Abels C et al. Br J Cancer. 1998;77(6):1021–4
Photodynamic treatment
(experimental)
Bernstein ZP et al. Aids 1999;13:1697–1704
Immunotherapy Interferon-alpha Lane HC et al. Lancet 1988;2:1218–1222
Cytotoxic chemotherapy Liposomal doxorubicin Osoba D et al. Cancer Invest 2001;19:573–580
Liposomal daunorubicin Gill PS et al. J Clin Oncol 1996;14:2353–2364
Paclitaxel Welles L et al. J Clin Oncol 1998;16:1112–1121
Etoposide Paredes J et al. J Acquir Immune Defic Syndr Hum Retrovirol 1995;9:138–144
Vincristine alone Mintzer DM et al. Annals of Internal Medicine 1985;102(2):200–202. [poor
results, however HAART was not used]
Vinblastine alone Volberding PA et al. Ann Intern Med 1985;103:335–338
Bleomycin alone Lassoued K et al. Cancer 1990;66:1869–72.
Vincristine/Vinblastine Kaplan L et al. Cancer Treat Rep 1986;70(9):1121–2.
Vincristine/Bleomycin (BV) Gill P et al. Am J Clin Oncol. 1990;13(4):315–9.
Vincristine/Bleomycin/Doxorubicin (ABV) Gill PS et al. Am J Med 1991;90:427–433
Gemcitabine Brambilla L et al. Dermatology 2001;202(2):119–22.
Vinorelbine Nasti G et al. J Clin Oncol. 2000;18(7):1550–7.
Molecularly targeted therapy
examples (mainly
experimental)
Angiogenesis inhibitors :
imatinib or sunitinib
(tyrosine kinase inhibitors)
Koon HB et al. J Clin Oncol 2005;23:982–989
Angiogenesis inhibitors:
thalidomide, fumagillin
(TNP-470) or
bevacizumab
Soler RA et al. Clin Infect Dis 1996;23:501–505
Angiogenesis inhibitors :
COL-3 (matrix
metalloproteinase inhibitor)
Dezube BJ et al. J Clin Oncol 2006;24:1389–1394
Inhibitors of the PI3K/AKT/mTOR
pathway (rapamycin
or sirolimus)
Stallone G et al. N Engl J Med 2005;352:1317–1323
Nuclear factor κB inhibitors
(bortezomib)
Keller SA et al. Blood 2000; 96:2537–2542
KSHV/HHV8 therapy Ganciclovir or Foscarnet
(theoretical benefit)
Robles R et al. J Acquir Immune Defic Syndr Hum Retrovirol 1999;20:34–38