Risk factors for classical Kaposi's sarcoma

James J. Goedert, Francesco Vitale, Carmela Lauria, Diego Serraino, Mario Tamburini, Maurizio Montella, Angelo Messina, Elizabeth E. Brown, Giovanni Rezza, Lorenzo Gafà, Nino Romano

Research output: Contribution to journalArticlepeer-review


Background: Classical Kaposi's sarcoma (KS) is a malignancy of lymphatic endothelial skin cells. Although all forms of KS are associated with the KS-associated herpesvirus (KSHV), classical KS occurs in a small fraction of KSHV-infected people. We sought to identify risk factors for classical KS in KSHV-infected individuals. Methods: Lifestyle and medical history data from case patients with biopsyproven non-AIDS (non-acquired immunodeficiency syndrome) KS in Italy were compared by logistic regression analysis with data from population-based KSHV-seropositive control subjects of comparable age and sex. After KSHV immunofluorescence testing, randomly selected patients on the rosters of local physicians were identified as control subjects. Risk of KS was estimated by odds ratios (ORs) and 95% confidence intervals (CIs). All statistical tests were two-sided. Results: From April 13, 1998, through October 8, 2001, we enrolled 141 classical KS case patients and 192 KSHV-seropositive control subjects of similar age (mean = 72 years for case patients and 73 years for control subjects) and sex (30% female case patients and 35% female control subjects). The strongest association was a reduced risk of KS with cigarette smoking (OR = 0.25, 95% CI = 0.14 to 0.45). Cigarette smoking intensity and duration could be evaluated for men, among whom the risk for KS was inversely related to the amount of cumulative smoking (Ptrend

Original languageEnglish
Pages (from-to)1712-1718
Number of pages7
JournalJournal of the National Cancer Institute
Issue number22
Publication statusPublished - Nov 20 2002

ASJC Scopus subject areas

  • Cancer Research
  • Oncology


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