Sarcome de Kaposi · ligne 1 · Conversion de sirolimus (sarcome Kaposi iatrogène/transplanté)
Vue déterministe de l'entité source de la LJAM. L'autorité clinique demeure avec les ID de la source cités et l'état d'approbation de l ́examinateur.
Contenu clinique provisoire : il ne s'agit pas d'une ordonnance. Un oncologue doit vérifier les sources originales, l'applicabilité et le statut de révision.
| Ligne thérapeutique | 1 |
|---|---|
| Voie | standard |
| Régime lié | REG-SIROLIMUS-KAPOSI-CONVERSION |
| ID | IND-KAPOSI-1L-IATROGENIC-MTOR-CONVERSION |
|---|---|
| Type | Indication |
| État | reviewed 2026-07-11 | pending_clinical_signoff |
| Maladies | DIS-KAPOSI |
| Sources | SRC-IARC-MONO-100B-2012 SRC-NCCN-SKIN-2025 |
Notes
STUB -- new TREATMENT-intent Indication for DIS-KAPOSI (v0.3 continuation). Distinct from the pre-existing PREVENTION-intent IND-CHRONIC-HHV8-PREVENTION-IMMUNE-RESTORATION -- this Indication applies to patients with a CONFIRMED Kaposi sarcoma diagnosis. Introduces new Regimen REG-SIROLIMUS-KAPOSI-CONVERSION (reuses the existing DRUG-SIROLIMUS entity; see that Regimen's notes for the CHARTER §8.3 dosing-gap disclosure). INDEPENDENT REVIEW CORRECTION (2026-07-11): an earlier draft cited SRC-NCCN-SKIN-2025 with position "supports". That source documents only basal-cell/squamous-cell skin cancer (confirmed by direct inspection of its own KB record) -- it has no bearing on transplant immunosuppression management or mTOR-inhibitor conversion. Downgraded to "context" (loose disease-level background only, matching how dis_kaposi.yaml itself cites it) rather than removed outright, since the core clinical claim (mTOR conversion for iatrogenic KS) traces directly to the authoring narrative, not to this citation. No source in this KB currently documents the transplant-immunosuppression-conversion literature specifically -- a real, disclosed evidentiary gap. Pending two-Clinical-Co-Lead signof...
Utilisé par
Algorithmes
ALGO-KAPOSI-1L- ALGO-KAPOSI-1L
Maladie
DIS-KAPOSI- Sarcome Kaposi
Indication
IND-KAPOSI-1L-CLASSIC-LOCAL-OBSERVATION- IND-KAPOSI-1L-CLASSIC-LOCAL-OBSERVATION