3
AORTIC 2013|DURBAN|21–24 NOVEMBER 2013
PLENARY
In patients with HIV and in particular heavily undertreated population with low HAART coverage (or
patients with inadequately suppressed virus) the risk of viral induced lymphomagenesis is primarily
due to HHV8 and EBV. Risk appears to be diminished significantly when CD4 counts are maintained
above 500 cells/uL. This supports the evolving strategy that maintaining high levels of CD4 count
at all times by earlier intervention with HAART. The most common HRL include Burkitt lymphoma
(BL) and diffuse large B-cell lymphoma (DLBCL). Lymphomas occurring specifically in HIV patients
include primary effusion lymphoma (PEL) and its solid variants, lymphoma associated with KSHV-
related multicentric Castleman disease (MCD), and plasmablastic lymphoma. For HIV-infected
patients with B-cell NHL, solid evidence points to the safety and efficacy of combined treatment
including Rituximab, as in the general population. Rituximab based protocols have shown significant
improvement of survival; however caution in the use of Rituximab in patients with CD4 count <
50/µL is advocated. A question is still debated concerning the use of HAART concomitantly or just
after CT, due the potential risk of adverse drug-drug interactions. The optimal therapy for AIDS-BL
is still controversial, although the CHOP backbone is not currently recommended. At this time, it
is reasonable to recommend more intensive protocols for BL patients on effective HAART such as
CODOXAM. Several new treatment strategies including the introduction of proteasome inhibitors,
angiogenesis inhibitors and targeted therapy are been tested. Large cohort clinical trials and high
quality biobanking need to be established to define optimal solutions and define genomic pathways
for potential therapy.
Abayomi, Emmanuel Akinola
MANAGEMENT OF HIV/AIDS-ASSOCIATED NON-HODGKIN’S
LYMPHOMAS: SEPARATING FACT FROM FICTION
Emmanuel Akinola Abayomi*
Stellenbosch University/NHLS, South Africa
Correspondence Abayomi, Emmanuel Akinola
Haematology
09h10–10h30
Saturday
23 November
2013
2AORTIC 2013|DURBAN|21–24 NOVEMBER 2013
PLENARY
In patients with HIV and in particular heavily undertreated population with low HAART coverage (or
patients with inadequately suppressed virus) the risk of viral induced lymphomagenesis is primarily
due to HHV8 and EBV. Risk appears to be diminished significantly when CD4 counts are maintained
above 500 cells/uL. This supports the evolving strategy that maintaining high levels of CD4 count
at all times by earlier intervention with HAART. The most common HRL include Burkitt lymphoma
(BL) and diffuse large B-cell lymphoma (DLBCL). Lymphomas occurring specifically in HIV patients
include primary effusion lymphoma (PEL) and its solid variants, lymphoma associated with KSHV-
related multicentric Castleman disease (MCD), and plasmablastic lymphoma. For HIV-infected
patients with B-cell NHL, solid evidence points to the safety and efficacy of combined treatment
including Rituximab, as in the general population. Rituximab based protocols have shown significant
improvement of survival; however caution in the use of Rituximab in patients with CD4 count <
50/µL is advocated. A question is still debated concerning the use of HAART concomitantly or just
after CT, due the potential risk of adverse drug-drug interactions. The optimal therapy for AIDS-BL
is still controversial, although the CHOP backbone is not currently recommended. At this time, it
is reasonable to recommend more intensive protocols for BL patients on effective HAART such as
CODOXAM. Several new treatment strategies including the introduction of proteasome inhibitors,
angiogenesis inhibitors and targeted therapy are been tested. Large cohort clinical trials and high
quality biobanking need to be established to define optimal solutions and define genomic pathways
for potential therapy.
Abayomi, Emmanuel Akinola
MANAGEMENT OF HIV/AIDS-ASSOCIATED NON-HODGKIN’S
LYMPHOMAS: SEPARATING FACT FROM FICTION
Emmanuel Akinola Abayomi*
Stellenbosch University/NHLS, South Africa
Correspondence Abayomi, Emmanuel Akinola
Haematology
09h10–10h30
Saturday
23 November
2013
SCHEDULE AT A GLANCE
DAY TWO | SATURDAY, 23 NOVEMBER
07h00 - 17h30 Registraon
07h00 - 07h50 PSYCHOSOCIAL IMPACT OF CANCER DIAGNOSIS
STATE OF MEDICAL EDUCATION IN AFRICA
08h00 - 08h30 PLACING PATIENTS' HUMANITY AT THE CENTRE OF OUR CARE
08h30 - 09h00 AFRICAN PALLIATIVE CARE AND ITS CONTRIBUTION TO THE WORLD
09h10 - 10h30 BREAST CANCER HAEMATOLOGY
10h30 - 11h00 Tea Break / Exhibion / Posters
11h00 - 13h00 BREAST CANCER I LIVER CANCER TOBACCO-RELATED CANCERS PAIN MANAGEMENT FREE COMMUNICATION
OF ABSTRACTS III
13h00 - 14h30 Lunch / Exhibion / Posters
13h15 - 14h15 ROCHE SYMPOSIUM GSK ONCOLOGY
SYMPOSIUM
GUIDELINES FOR CANCER MANAGEMENT IN AFRICA
14h30 - 17h30 BREAST CANCER II PROSTATE CANCER JOINT AORTIC-ASCO
SYMPOSIUM: CANCER
BIOLOGY
ONCOLOGY NURSING FREE COMMUNICATION
OF ABSTRACTS IV
19h30 - 00h00 GALA DINNER
DAY THREE | SUNDAY, 24 NOVEMBER
07h00 - 14h00 Registraon
07h00 - 07h50 PUBLIC-PRIVATE PARTNERSHIPS VACCINE IMPLEMENTATION
08h00 - 08h30 COMBATING CERVICAL AND BREAST CANCER IN AFRICA
08h30 - 09h00 VIRUSES AND CANCER
09h10 - 10h30 ENVIRONMENT AND OCCUPATION IN CANCER GYNAECOLOGICAL CANCERS
10h30 - 11h00 Tea Break / Exhibion / Posters
11h00 - 13h00 PAEDIATRIC ONCOLOGY AIDS-RELATED
MALIGNANCIES
COLORECTAL CANCER AORTIC'S CONTINENTAL
CANCER CONTROL
PLAN
FREE COMMUNICATION
OF ABSTRACTS V
13h15 - 14h00 CLOSING SESSION