Fine needle aspiration cytology determinants of the diagnosis of primarynodal Kaposi’s sarcoma as the first sign of unknown HIV infection:a case report.
BACKGROUND: Kaposi’s sarcoma (KS) is a vascular malignant tumor characterizedby human herpesvirus 8 infection of neoplastic cells. Diffuse cutaneous lesions represent theclassical clinical presentation. This case report describes the first fine needle aspirationcytology findings of a primary lymph nodal KS, a rather unusual localization of the disease. CASE: A28-year-old, apparently healthy man saw a surgeon for right inguinal node enlargement without othersymptoms. The clinician performed fine needle aspiration and made a preliminary diagnosis of aneoplasm of probable mesenchymal origin, not otherwise specified. The lymph node was excised, andthe final histologic diagnosis was primary lymphoadenopathic KS. A serologic test revealed antibodypositivity for HIV. CONCLUSION: The diagnosis of primary KS of the lymph node, in the absence of anyother clinical manifestation, was the first sign of HIV infection.
Morelli,L Pusiol,T Piscioli,I Del-Nonno,F Brenna,A Licci,S
Department of Pathology, S. Maria del Carmine Hospital, Rovereto, Italy.luca.morelli@apss.tn.it
Diagnostic Fine needle biopsy, NOS Kaposi Sarcoma HIV InfectionsCellular HIV
