Acquired immunodeficiency syndrome related Kaposi's sarcoma eroding the maxillary bone.

J Laryngol Otol

Division of Hematology Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Published: September 2008

Background: Oral involvement is a common manifestation of acquired immunodeficiency syndrome related Kaposi's sarcoma, and it occurs in approximately one-third of afflicted patients.

Methods: We report an unusual case of Kaposi's sarcoma of the hard palate which invaded the underlying maxillary bone.

Results: The patient underwent excisional biopsy and was subsequently treated with localised radiation and systemic chemotherapy including liposomal doxorubicin.

Conclusions: The presentation, differential diagnosis, radiographic appearance and management of this serious complication are discussed. Our case highlights the need for a multidisciplinary approach, consisting of ENT, oncology and infectious disease consultation, to ensure appropriate management of maxillofacial, intraosseous, acquired immunodeficiency syndrome related Kaposi's sarcoma.

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http://dx.doi.org/10.1017/S0022215107008705DOI Listing

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