CAJ | 학술논문

目的探讨获得性免疫缺陷综合征(AIDS)相关型卡波西肉瘤(KS)的内镜下表现及内镜诊断价值.方法回顾分析16例确诊为HIV/AIDS且行胃镜检查患者的临床资料,总结其中胃镜检查发现的3例KS患者的内镜下表现.结果 KS阳性发现率为18.75%(3/16),其中单发者1例(占33.3%)、多发者2例(占66.6%).3例以胃部KS为主,内镜下主要表现为斑丘疹样、息肉样及结节样改变;其中1例多发者伴十二指肠降部KS,表现为小的红褐色扁平病变.结论 AIDS相关型KS在胃内的表现形式多样,平坦或隆起性病变表面丰富的毛细血管是较突出的特征,内镜检查对HIV/AIDS患者的诊断具有一定临床意义.
목적 탐토획득성면역결함종합정(AIDS)상관형잡파서육류(KS)적내경하표현급내경진단개치.방법 회고분석16례학진위HIV/AIDS차행위경검사환자적림상자료,총결기중위경검사발현적3례KS환자적내경하표현.결과 KS양성발현솔위18.75%(3/16),기중단발자1례(점33.3%)、다발자2례(점66.6%).3례이위부KS위주,내경하주요표현위반구진양、식육양급결절양개변;기중1례다발자반십이지장강부KS,표현위소적홍갈색편평병변.결론 AIDS상관형KS재위내적표현형식다양,평탄혹륭기성병변표면봉부적모세혈관시교돌출적특정,내경검사대HIV/AIDS환자적진단구유일정림상의의.
Objective To explore the endoscopic manifestations of AIDS-related gastric Kaposi's sarcoma (KS), and the diagnostic value of endoscopy. Methods Data of 16 patients with confirmed HIV/AIDS, who received gastric endoscopy, were retrospectively studied, and endoscopic manifestations of 3 cases of AIDS-related gastric KS were reviewed. Results The incidence of KS was 18.75% (3/16), including one case of single lesion (33.3%) and 2 cases of multiple lesions (66.6%). The characteristics of gastric KS included reddish papular, polypoid or nodular changes under endoscopy. The multiple lesions in 1 case, accompanied with KS in the descending duodenum, showed minor reddish brown flat lesions. Conclusion Endoscopic manifestations of AIDS-related KS vary, characterized by a-bundant capillaries in the surface of flat or raised lesions, which is of clinical significance for diagnosis of HIV/AIDS.