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Okay, I have several questions in one. First of all–is there a way to tell if cancer lesions are AIDS related during a biopsy? Secondly, do doctors have a right to test a patient’s blood for HIV if the patient refuses, but accepts other treatments? And finally, what are the odds of someone contracting Kaposi’s sarcoma if they are under forty?
Kaposi’s sarcoma is extremely rare in someone under the age of 40 unless they are positive for HIV and HHV-8. As for whether doctors have a right to test the patient, it depends on the state. Some states require formal consent to run the test. Most states, however, are doing away with that rule and making it legal for doctors to just test their patients. A lot of it has to do with doctor’s safety in handling the patient’s blood samples, etc. Also, knowledge of AIDS impacts a person’s treatment options.
Generally, if the biopsy of the lesion confirms Kaposi sarcoma, and also routine blood tests show that the patient’s CD4 count is below 400, that’s good evidence that the lesions are AIDS related.
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