Lung carcinoma in 36 patients with human immunodeficiency virus infection

Umberto Tirelli, Michele Spina, Simonetta Sandri, Diego Serraino, Carlo Gobitti, Marco Fasan, Alessandro Sinicco, Pierluigi Garavelli, Anna Lisa Ridolfo, Emanuela Vaccher

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND. The current study describes the clinicopathologic characteristics of 36 patients with lung carcinoma and human immunodeficiency virus (HIV) infection observed within the Italian Cooperative Group on AIDS and Tumors (GICAT). METHODS. Patients with lung carcinoma and HIV infection collected by the GICAT between 1986-1998 were evaluated retrospectively. As a control group, the authors analyzed 102 patients age <60 years with lung carcinoma but without HIV infection who were seen at the CRO, National Cancer Institute, Aviano, Italy between 1995-1996. RESULTS. Patients with lung carcinoma and HIV infection were younger (38 years vs. 53 years) and previously smoked more cigarettes per day (40 vs. 20) than the control group. The main histologic subtype was adenocarcinoma. TNM Stage III-IV disease was observed in 53% of the patients. The median GD4 cell count was 15D/mm3. The median overall survival was significantly shorter in the patients with HIV compared with the control group (5 months vs. 10 months; P = 0.0001). CONCLUSIONS. The results of the current study demonstrate that lung carcinoma in the HIV setting affects mainly young individuals with a history of heavy tobacco smoking and a moderately advanced immunodeficiency status. Lung carcinoma is associated with a more adverse outcome in HIV patients and represents the cause of death in the majority of these patients.

Original languageEnglish
Pages (from-to)563-569
Number of pages7
JournalCancer
Volume88
Issue number3
DOIs
Publication statusPublished - Feb 1 2000

Keywords

  • Acquired immunodeficiency syndrome
  • Human immunodeficiency virus infection
  • Lung carcinoma
  • Survival
  • Tobacco smoking

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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