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Published: July 2011

Open Access Gateway

Metastatic Kaposi’s Sarcoma with Perirectal Involvement Diagnosed with Endoscopic Ultrasound-Guided EchoBrush Cytology Sampling

Cornett D.a · Benson M.a · Attia S.b · Weiss J.a · Gopal D.a

Author affiliations

aDivision of Gastroenterology and Hepatology and bDivision of Medical Oncology, Department of Medicine, University of Wisconsin Hospital and Clinics, Madison, Wisc., USA

Corresponding Author

Deepak Gopal, MD, FRCP(C)

Division of Gastroenterology and Hepatology, University of Wisconsin Medical School4229 Medical Foundation Centennial Building, 1685 Highland Ave

Madison, WI 53705 (USA)

Tel. +1 608 263 7322, E-Mail dvg@medicine.wisc.edu

Related Articles for ""

Case Rep Gastroenterol 2011;5:416–421

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AIDS-related Kaposi’s sarcoma (KS) is a low-grade vascular tumor that occurs in association with human herpesvirus 8 infection. Here we report the case of a 21-year-old male with recently diagnosed cutaneous KS who presented with rectal bleeding and anal pruritus. Initial endoscopic evaluation was nondiagnostic. CT imaging showed diffuse lymphadenopathy including perirectal involvement which was suspicious for metastatic KS. Echoendoscopy with needle biopsies and EchoBrush sampling of the lymph nodes revealed spindle cells confirming metastatic KS. Treatment was initiated with liposomal doxorubicin resulting in rapid improvement of the skin lesions. After treatment completion, repeat CT imaging showed improved lymphadenopathy. No further rectal bleeding or perianal pruritus was reported. Although the EchoBrush has previously been used to aid in the diagnosis of pancreatic lesions, this report describes a novel use of EchoBrush to diagnose KS from perirectal lymph nodes.

© 2011 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Published: July 2011

Published online: July 22, 2011
Issue release date: May – August

Number of Print Pages: 6
Number of Figures: 4
Number of Tables: 0

eISSN: 1662-0631 (Online)

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Open Access License / Drug Dosage / Disclaimer

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
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