Current opinion in oncology
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Morbidity and mortality related to malignancy are increasing in HIV-infected patients. We aim at reviewing the literature on recent changes in the incidence of AIDS-defining and non-AIDS-defining malignancies and the specific characteristics of the main cancers emerging in HIV-infected patients. ⋯ Prevention and screening management procedures need to be assessed on the basis of specific evidence-based studies in the HIV-infected population. Interventions, known to be efficacious in other populations, should systematically be used or adapted if necessary (alcohol and tobacco cessation programs and viral coinfection management). The respective role of HIV itself, immunosuppression, and antiretrovirals as pro-oncogenic factors need to be further examined.
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The da Vinci robot has proved to be the most advanced surgical system in gynecology. In this review we evaluated the possibilities of applying robotic assistance to improve gynecological endoscopic oncological surgery. ⋯ Robotic surgery combines the advantages of open surgery and endoscopic surgery. In our opinion, robotic surgery may lead to better results than conventional laparoscopic surgery, particularly in the field of gynecological oncology. However, this opinion has yet to be confirmed by randomized studies.