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Lung cancer and HIV
Sep 26, 2002

Some claims have been made in Australia that smoking in HIV+ people caused a much increased incidence of lung cancer above smokers without HIV. Do you know of any evidence of this?

Response from Dr. Dezube

This is indeed correct. Lung cancer is both more prevalent and more aggressive in HIV-infected patients than in non-HIV-infected patients. In both HIV-infected and non-infected patients, lung cancer is predominantly a disease of smokers. Smoking also is not a great idea since it can lead to head and neck cancer, esophageal cancer, bladder cancer, heart disease, stroke, and so on, and so on. Some of the most aggressive cancers, which I have ever seen, have been the lung cancers in HIV-infected persons.

Is HIV present even when they are not swollen?
How do you decide what questions to answer? Do you only answer questions from patients who have HIV?

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