Retrospective analysis of HIV-associated lymphomas: insights from a single Romanian center over 15 years

IntroductionLymphoma is a significant cause of mortality among people living with human immunodeficiency virus (PLWH). The objective of our study was to assess the characteristics of lymphomas in PLWH in a single center from the southeast of Romania.MethodsWe retrospectively analyzed the prevalence...

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Main Authors: Monica-Daniela Padurariu-Covit, Iulia Chiscop, Cristian Gutu, Anca-Adriana Arbune, Elena Niculet, Manuela Arbune
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1569433/full
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Summary:IntroductionLymphoma is a significant cause of mortality among people living with human immunodeficiency virus (PLWH). The objective of our study was to assess the characteristics of lymphomas in PLWH in a single center from the southeast of Romania.MethodsWe retrospectively analyzed the prevalence and clinical and demographic characteristics of patients with lymphoma associated with HIV/AIDS monitored over a period of 15 years. Kaplan–Meier analysis was used to estimate survival rates and evaluate the risk of mortality in lymphoma patients.ResultsAmong the 476 new cases of HIV/AIDS registered, 9 cases of lymphoma were identified, representing a prevalence of 1.89%. Overall mortality was 13.6%, with lymphoma contributing to 10.76% of HIV/AIDS-related deaths. The average age at lymphoma diagnosis was 37 years, with most patients being men and smokers with sexually transmitted HIV. Common coinfections included hepatitis B virus (HBV) and tuberculosis. Advanced-stage disease (Ann Arbor stage IV) and type B clinical symptoms were present in half of the cases. Oncological treatment was provided in 5 cases, achieving a survival rate of 30%.ConclusionsThe high mortality highlights the need for early diagnosis and an integrated therapeutic approach to improve the prognosis of patients with HIV-associated lymphomas.
ISSN:2234-943X