Turkiye Klinikleri Journal of Case Reports

Classic Kaposi Sarcoma Presenting with Diffuse Lesions and Secondary Malignancy
Hanife USTA ATMACAa, Feray AKBAŞa, Ezgi GÜNDOĞARa, Mehmet Emin PİŞKİNPAŞAa
aClinic of Internal Medicine, İstanbul Training and Research Hospital, İstanbul, TURKEY
Turkiye Klinikleri J Case Rep. 2019;27(4):204-8
doi: 10.5336/caserep.2019-66331
Article Language: EN
Full Text
ABSTRACT
 Classic Kaposi Sarcoma (CKS) is a vascular neoplasm, which is the most common subtype of sarcoma in our country. The prognosis is usually good. Generally it involves lower extremities, visceral involvement is rarely seen. Secondary malignancy might accompany the disease. Mortality occurs due to accompanying diseases. Here, a geriatric patient who was admitted with upper gastrointestinal bleeding and had diffuse CKS lesions on lower extremities and invasive adenocarcinoma of the stomach is presented. The 94 year-old female patient was presented with hematemesis and melena. She was cachectic, and in poor general condition and had diffuse maculopapular purple lesions on both lower extremities and foot dorsum. The pathological examination revealed Kaposi Sarcoma (KS). Human herpes virus-8 (HHV-8) was negative. A fragile mass was found in gastric corpus in the endoscopy which was performed after recurrent gastrointestinal bleeding. The pathological diagnosis was invasive adenocarcinoma. Despite the ongoing treatment, the bleeding continued and patient's general condition worsened and she died on the 7th day of admission. Kaposi sarcoma must be kept in mind when typical skin lesions accompany a malignancy.

Keywords: Classic Kaposi sarcoma; adenocarcinoma; malignancy
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