Structure of malignant neoplasms in HIV-infected patients in Svetlogorsk district of Gomel region
https://doi.org/10.51523/2708-6011.2025-22-2-03
Abstract
Objectives. To evaluate retrospectively the structure of malignant neoplasms in HIV-infected patients using the example of Svetlogorsk district, as the area with the highest prevalence of HIV infection in the Republic of Belarus.
Materials and methods. The data of patients living in Svetlogorsk district of Gomel region and registered in the Belarusian Cancer Registry from 2015 to 2022 were analyzed. A comparison of data of patients with malignant neoplasms was conducted in HIV-positive patients (HIV+) (97 people) and HIV-negative (HIV-) residents of Svetlogorsk region (3015 patients).
Results. Among the registered cases of cancer in HIV-infected patients, 32% were AIDS-associated neoplasms, 66% were AIDS-non-associated neoplasms. The most common neoplasms in HIV-infected patients were non-Hodgkin’s lymphoma, breast cancer, lung cancer, cervical cancer, Kaposi’s sarcoma, and oropharyngeal cancer.
Proportion of HIV-infected patients was 16.7% in the structure of malignant neoplasms in patients under the age of 50, but there was more than 60% among patients with non-Hodgkin’s lymphoma, and 30% among women with cervical cancer.
Conclusion. Developing of the screening program and prevention of the predominant cancers in HIV-infected patients of working age will make it possible to increase their life expectancy and life quality.
About the Authors
E. I. KozorezBelarus
Elena I. Kozorez - Candidate of Medical Sciences, Associate Professor, Head of the Department of Infectious Diseases, Gomel State Medical University.
Gomel
V. M. Mitsura
Belarus
Viktar M. Mitsura - Doctor of Medical Sciences, Professor, Deputy Director on Science Work, Republican Research Center for Radiation Medicine and Human Ecology; Professor of the Department of Infectious diseases, Gomel State Medical University.
Gomel
I. V. Veyalkin
Belarus
Ilya V. Veyalkin - Candidate of Biological Sciences, Associate Professor, Head of Epidemiology Laboratory, Republican Research Center for Radiation Medicine and Human Ecology.
Gomel
I. O. Stoma
Belarus
Igor O. Stoma - Doctor of Medical Sciences, Professor, Rector of Gomel State Medical University.
Gomel
References
1. Kaprin AD, Voronin EE, Rassokhin VV, Rozenberg VV, Nekrasova AV, Falaleeva NA, et al. Malignant neoplasms associated with HIV infection. Problems and solutions (problem outline). Journal of Modern Oncology. 2021;23(3):502-507. (In Russ.). DOI: https://doi.org/10.26442/18151434.2021.3.201041
2. Rassokhin VV, Nekrasova AV, Mikhailova NB Malignant tumors in HIV patients. Epidemiology, Pathogenesis, and Variability. Part 1. HIV Infection and Immunosuppressive Disorders. 2017;9(1):7-21. (In Russ.). DOI: https://doi.org/10.22328/2077-9828-2017-9-1-7-21
3. Mathoma A, Sartorius B, Mahomed S. The Trends and Risk Factors of AIDS-Defining Cancers and Non-AIDS-Defining Cancers in Adults Living with and without HIV: A Narrative Review. J Cancer Epidemiol. 2024 Mar 21;2024:7588928. DOI: https://doi.org/10.1155/2024/7588928
4. Chiao EY, Coghill A, Kizub D, Fink V, Ndlovu N, Mazul A, et al. The effect of non-AIDS-defining cancers on people living with HIV. Lancet Oncol. 2021 Jun;22(6):e240-e253. DOI: https://doi.org/10.1016/S1470-2045(21)00137-6
5. Jensen JE, Becker GL, Jackson J.B, Rysavy MB. Human Papillomavirus and Associated Cancers: A Review. Viruses. 2024;16(5):680. DOI: https://doi.org/10.3390/v16050680
6. Szymonowicz KA, Chen J. Biological and clinical aspects of HPV-related cancers. Cancer Biol Med. 2020 Nov 15;17(4):864-878. DOI: https://doi.org/10.20892/j.issn.2095-3941.2020.0370
7. Saraiya M, Unger ER, Thompson TD, Lynch CF, Hernandez BY, Lyu CW. US assessment of HPV types in cancers: implications for current and 9-valent HPV vaccines. J Natl Cancer Inst. 2015 Apr 29;107(6):djv086. DOI: https://doi.org/10.1093/jnci/djv086
8. Looker KJ, Rönn MM, Brock PM, Brisson M, Drolet M, Mayaud P, et al. Evidence of synergistic relationships between HIV and Human Papillomavirus (HPV): systematic reviews and meta-analyses of longitudinal studies of HPV acquisition and clearance by HIV status, and of HIV acquisition by HPV status. J Int AIDS Soc. 2018 Jun;21(6):e25110. DOI: https://doi.org/10.1002/jia2.25110
9. Greenberg L, Ryom L, Bakowska E, Wit F, Bucher HC, Braun DL, et al. Trends in Cancer Incidence in Different Antiretroviral Treatment-Eras amongst People with HIV. Cancers (Basel). 2023 Jul 15;15(14):3640. DOI: https://doi.org/10.3390/cancers15143640
10. Wilkinson M, McCrea K, Culbertson A. Cancer Prevention and Screening for People Living with Human Immunodeficiency Virus. Nurs Clin North Am. 2024 Jun;59(2):273-288. DOI: https://doi.org/10.1016/j.cnur.2024.01.002
11. Goedert JJ, Hosgood HD, Biggar RJ, Strickler HD, Rabkin CS. Screening for Cancer in Persons Living with HIV Infection. Trends Cancer. 2016 Aug;2(8):416-428. DOI: https://doi.org/10.1016/j.trecan.2016.06.007
12. Volchek VS. Improving the cancer screening and early detection program: mechanisms to improve quality and efficiency of implementation. Health and Ecology Issues. 2024;21(2):117-127. (In Russ.). DOI: https://doi.org/10.51523/2708-6011.2024-21-2-14
13. Rettig EM, D’Souza G. Epidemiology of head and neck cancer. Surg Oncol Clin N Am. 2015 Jul;24(3):379-396. DOI: https://doi.org/10.1016/j.soc.2015.03.001
14. Mazul AL, Hartman CM, Mowery YM, Kramer JR, White DL, Royse KE, et al. Risk and incidence of head and neck cancers in veterans living with HIV and matched HIV-negative veterans. Cancer. 2022 Sep 15;128(18):3310-3318. DOI: https://doi.org/10.1002/cncr.34387
15. Gormley M, Creaney G, Schache A, Ingarfield K, Conway DI. Reviewing the epidemiology of head and neck cancer: definitions, trends and risk factors. Br Dent J. 2022 Nov;233(9):780-786. DOI: https://doi.org/10.1038/s41415-022-5166-x
16. Gillison ML, Chaturvedi AK, Anderson WF, Fakhry C. Epidemiology of Human Papillomavirus-Positive Head and Neck Squamous Cell Carcinoma. J Clin Oncol. 2015;33:3235-3242. DOI: https://doi.org/10.1200/JCO.2015.61.6995
17. Anantharaman D, Muller DC, Lagiou P, Ahrens W., Holcátová I, Merlettiet F, et al. Combined effects of smoking and HPV16 in oropharyngeal cancer. Int J Epidemiol. 2016 Jun;45(3):752-761. DOI: https://doi.org/10.1093/ije/dyw069
18. Williamson AL. Recent Developments in Human Papillomavirus (HPV) Vaccinology. Viruses. 2023 Jun 26;15(7):1440. DOI: https://doi.org/10.3390/v15071440
19. Kamolratanakul S, Pitisuttithum P. Human Papillomavirus Vaccine Efficacy and Effectiveness against Cancer. Vaccines (Basel). 2021 Nov 30;9(12):1413. DOI: https://doi.org/10.3390/vaccines9121413
20. Shylava MA, Radkevich SV, Valchuk IN, Dotsenko ML. HIV infection epidemic process in Minsk. Medical news. 2021;9(324);24-29. (In Russ.).
21. Okeanov AE, Moiseev PI, Levin LF, Evmenenko AA, Ipaty TB. Cancer in Belarus: figures and facts. Analysis of the data of the Belarusian cancer register for 2010-2019. Minsk: National Library of Belarus, 2021. 298 p. [date of access 2024 December 18]. Available from: https://elibrary.ru/item.asp?id=48029618 (In Russ.).
Review
For citations:
Kozorez E.I., Mitsura V.M., Veyalkin I.V., Stoma I.O. Structure of malignant neoplasms in HIV-infected patients in Svetlogorsk district of Gomel region. Health and Ecology Issues. 2025;22(2):26-34. (In Russ.) https://doi.org/10.51523/2708-6011.2025-22-2-03