Non-AIDS-defining cancers: should antiretroviral therapy be initiated earlier?

AIDS Read. 2008 Jan;18(1):18-20, 26-32.

Abstract

Non-AIDS-defining cancers have recently gained more attention, and it appears that several of these cancers may be more common the the HAART era. By most accounts in the literature, the overall risk of non-AIDS-defining cancer in HIV-infected persons is 2 to 3 times that in the general population. In this article, we review the literature on 5 of the most common non-AIDS-defining cancers (Hodgkin disease, anal cancer, hepatocellular carcinoma, oral cancer, and lung cancer) in the pre- and post-HAART periods. It remains unclear whether earlier initiation (CD4+ cell count above 350/microL) of antiretroviral therapy may be beneficial in preventing non-AIDS-defining cancer. Further large-scale, randomized, prospective studies on this question are warranted.

Publication types

  • Review

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Acquired Immunodeficiency Syndrome / drug therapy*
  • Anti-HIV Agents / therapeutic use*
  • Antiretroviral Therapy, Highly Active*
  • Anus Neoplasms / complications
  • Anus Neoplasms / epidemiology
  • Carcinoma, Hepatocellular / complications
  • Carcinoma, Hepatocellular / epidemiology
  • Hodgkin Disease / complications
  • Hodgkin Disease / epidemiology
  • Humans
  • Liver Neoplasms / complications
  • Liver Neoplasms / epidemiology
  • Lung Neoplasms / complications
  • Lung Neoplasms / epidemiology
  • Mouth Neoplasms / complications
  • Mouth Neoplasms / epidemiology
  • Neoplasms / complications
  • Neoplasms / epidemiology*

Substances

  • Anti-HIV Agents