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Review
. 2017 Oct;21(4):399-407.
doi: 10.1055/s-0036-1597825. Epub 2017 Feb 1.

Head and Neck Lymphomas in HIV Patients: a Clinical Perspective

Natsuki Oishi  1   2 , José Vicente Bagán  3 , Karla Javier  4 , Enrique Zapater  1
Affiliations
Review

Head and Neck Lymphomas in HIV Patients: a Clinical Perspective

Natsuki Oishi et al. Int Arch Otorhinolaryngol. 2017 Oct.

Abstract

Introduction Because of the many HIV-related malignancies, the diagnosis and treatment of lymphoma in patients infected with human immunodeficiency virus are challenging. Objective Here, we review current knowledge of the pathogenesis, epidemiology, symptomatology, diagnosis, and treatment of head and neck lymphomas in HIV patients from a clinical perspective. Data Synthesis Although Hodgkin's lymphoma is not an AIDS-defining neoplasm, its prevalence is ten times higher in HIV patients than in the general population. NHL is the second most common malignancy in HIV patients, after Kaposi's sarcoma. In this group of patients, NHL is characterized by rapid progression, frequent extranodal involvement, and a poor outcome. HIV-related salivary gland disease is a benign condition that shares some features with lymphomas and is considered in their differential diagnosis. Conclusion The otolaryngologist may be the first clinician to diagnose head and neck lymphomas. The increasing survival of HIV patients implies clinical and epidemiological changes in the behavior of this disease. Early diagnosis is important to improve the prognosis and avoid the propagation of HIV infection.

Keywords: HIV; head and neck neoplasms; lymphoma.

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Figures

Fig. 1
Fig. 1
Unilateral tonsillar hypertrophy in diffuse large B cell lymphoma.
Fig. 2
Fig. 2
Ulceration of the gingivae.
Fig. 3
Fig. 3
Algorithm of a recommended diagnostic workup.
Fig. 4
Fig. 4
Wide maxillary lysis in a patient with gingival lymphoma.
See this image and copyright information in PMC

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