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Clinical management and outcomes of HIV-positive patients newly diagnosed with prostate cancer: a single institution experience

Abstract

Introduction

10-year outcomes in patients living with HIV who are diagnosed with prostate cancer are unknown.

Methods

52 patients living with HIV were diagnosed with prostate cancer. Disease-free survival stratified by clinical, pathologic, and HIV characteristics were examined.

Results

No difference in disease-free survival was observed based on prostate cancer treatment modality, CD4 count, or HIV viral load.

Conclusions

Prostate cancer outcomes in patients living with HIV are favorable irrespective of treatment modality.

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Fig. 1: Prostate cancer disease-free survival in 48 Men enrolled in the Johns Hopkins HIV Clinical Cohort, 1998-2019.

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Data availability

This dataset will be made available upon request to corresponding author.

References

  1. Shiels MS, Islam JY, Rosenberg PS, Hall HI, Jacobson E, Engels EA. Projected cancer incidence rates and burden of incident cancer cases in HIV-infected adults in the United States Through 2030. Ann Intern Med. 2018;168:866–73.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Park LS, Tate JP, Sigel K, Brown ST, Crothers K, Gibert C, et al. Association of viral suppression with lower AIDS-defining and non-AIDS-defining cancer incidence in HIV-infected veterans: a prospective cohort study. Ann Intern Med. 2018;169:87–96.

    Article  PubMed  PubMed Central  Google Scholar 

  3. 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;22:e240–e53.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Baladakis J, Perera M, Bolton D, Lawrentschuk N, Adam A. Is there an optimal curative option in hiv-positive men with localized prostate cancer? a systematic review. Curr Urol. 2019;12:169–76.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Ruden M, Olivares CH, Fakhoury MQ, Roston A, Vidal PP, Hollowell CMP, et al. Prostate cancer presentation, treatment selection, and outcomes among men with HIV/AIDS: A clinical stage, race, and age-matched contemporary analysis. Urol Oncol. 2021;39:73 e19–73 e25.

    Article  PubMed  Google Scholar 

  6. Schreiber D, Chhabra A, Rineer J, Nabhani T, Katsoulakis E, Morkos R, et al. Outcomes and tolerance of human immunodeficiency virus–positive U.S. veterans undergoing dose-escalated external beam radiotherapy for localized prostate cancer. Clin Genitourin cancer. 2014;12:94–9.

    Article  PubMed  Google Scholar 

  7. Kahn S, Jani A, Edelman S, Rossi P, Godette K, Landry J, et al. Matched cohort analysis of outcomes of definitive radiotherapy for prostate cancer in human immunodeficiency virus-positive patients. Int J Radiat Oncol, Biol, Phys. 2012;83:16–21.

    Article  PubMed  Google Scholar 

  8. Huang WC, Kwon EO, Scardino PT, Eastham JA. Radical prostatectomy in patients infected with human immunodeficiency virus. BJU Int. 2006;98:303–7.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Han H, Ye C, Tang Z, Qin Y, Ruan Y, Cao Y, et al. Clinical characteristics and outcomes of robot-assisted laparoscopic radical prostatectomy in HIV-positive patients: a nationwide population-based analysis. Int Urol Nephrol. 2020;52:481–7.

    Article  PubMed  Google Scholar 

  10. Moore RD. Understanding the clinical and economic outcomes of HIV therapy: the Johns Hopkins HIV clinical practice cohort. J Acquir Immune Defic Syndr Hum Retrovirol. 1998;17:S38–41.

    Article  PubMed  Google Scholar 

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Funding

This study was funded by U01 DA036935, P30 AI094189, U01 AI069918, R01 CA250851, P30 CA006973. C Joshu was supported by RSG-18-147-01. F Pirsl was supported by the NCI Cancer Epidemiology, Prevention, and Control Grant (T32CA0093140). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

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Authors and Affiliations

Authors

Contributions

MCM: Conceptualization, Methodology, Data Analysis, Writing and Editing, FP: Methodology, Data Analysis; JCK: Conceptualization, Manuscript Editing; GC: Conceptualization, Manuscript Editing; RDP: Conceptualization, Supervision, Manuscript Editing; BL: Data Analysis, Manuscript Editing; CEJ: Conceptualization, Formal Analysis, Funding Acquisition, Supervision, Manuscript Editing.

Corresponding author

Correspondence to Mark C. Markowski.

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The authors declare no competing interests.

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Markowski, M.C., Pirsl, F., Keruly, J.C. et al. Clinical management and outcomes of HIV-positive patients newly diagnosed with prostate cancer: a single institution experience. Prostate Cancer Prostatic Dis 27, 144–146 (2024). https://doi.org/10.1038/s41391-022-00586-7

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  • DOI: https://doi.org/10.1038/s41391-022-00586-7

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