ABSTRACT

The risk of certain cancers is increased among those infected with HIV. Four

cancers are currently considering AIDS-defining malignancies (ADMs) by the

Center for Disease Control (CDC) in Atlanta, Georgia. They are Kaposi’s sarcoma

(KS), intermediate and high-grade B-cell non-Hodgkin’s lymphoma (NHL), pri-

mary central nervous system lymphoma (PCNSL), and invasive cervical cancer

(1). Each of these malignancies has been associated with infection by viruses other

than HIV, including human herpes virus type 8 (HHV-8) in KS (2), Epstein-Barr

virus (EBV) in lymphoma (3), and oncogenic types of human papilloma virus

(HPV) in cervical cancer (4). Although these viral infections may be necessary for

the development of neoplasia, infection alone is not sufficient. Underlying

immunosuppression in the host is thought to play an important role in the

development of malignancy associated with these organisms (5).