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Gaceta Médica Boliviana

Print version ISSN 1012-2966On-line version ISSN 2227-3662

Abstract

NINA GARCIA, Nelson Miguel  and  CABRERA AGUILAR, Wendy. Lymphomas associated with human immunodeficiency virus infection. Gac Med Bol [online]. 2022, vol.45, n.2, pp.142-146.  Epub Dec 01, 2022. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v45i2.73.

Objectives:

to describe the clinical profile and treatment outcomes of cases of lymphoma associated with Human Immunodeficiency Virus infection.

Methods:

retrospective study of cases of lymphoma associated with Human Immunodeficiency Virus infection treated at the Hematology Department of the Materno Infantil Hospital, La Paz, Bolivia during the period 2010-2021.

Results:

Eight cases were studied, of which 6 (75%) were male. The mean age was 40.75 years. 7 (87.5%) were Non-Hodgkin's Lymphoma and one case was Hodgkin's Lymphoma. In seven patients, the diagnosis of lymphoma was made after the detection of Human Immunodeficiency Virus infection, with a mean time of 4.6 years. 75% of the cases presented with advanced stage. Of the seven cases of Non-Hodgkin's Lymphoma, five corresponded to Large B-Cell Lymphoma. Chemotherapy was started in all cases but only three completed the scheduled cycles, the remainder stopped treatment mainly due to infectious complications. Four (50%) deaths were recorded, three of which occurred within the first four months after the diagnosis of lymphoma.

Conclusions:

In this study, Non-Hodgkin's Lymphoma was the most frequent, represented mainly by Large B-Cell Lymphoma. A common characteristic was the presentation at advanced stages. Chemotherapy could not be completed in the majority of cases due to complications related to immunodepression, and half of the cases died during the study period.

Keywords : Lymphoma; HIV; AIDS; antiretroviral therapy; Bolivia.

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