Abstract
Purpose
We reviewed the childhood lymphomas epidemiological data for the Mexico City metropolitan area (MCMA).
Methods
Data analysis from children (0–14 years old) diagnosed with lymphoma during the period 1996–2010 was performed at the Mexican Childhood Cancer Registry. Histological subtype was determined according to the International Classification of Childhood Cancer 3 (ICCC-3). Age-adjusted incidence rates were calculated per 1,000,000 children/year by age, gender, and ICCC-3 subtype; trends, by average annual percent change (AAPC).
Results
A total of 328 lymphoma cases included in the study had an incidence rate of 11.8, showing a decreasing trend [AAPC: −3.5; CI95% (−5.9, −1.0)], primarily due to non-Hodgkin lymphomas (NHL) and Hodgkin lymphoma (HL) mixed cellularity subtype. NHL had the major incidence (5.8), with the precursor cell subtype being the most frequent (38.3 %). Nodular sclerosis was the most frequent HL subtype. The incidence of Burkitt lymphoma was low (1.3). During the study period, there was an important reduction in the not-otherwise-specified subtype of NHL, which translated into a relative increase in the IIb3 subtype [AAPC: 7.3 (1.2, 13.8)]. Low incidences of NHL and of HL and NHL were found for <1-year-olds and for 10- to 14-year-olds, respectively. Incidence rates for children in the MCMA, particularly the <1 and 10–14 age groups, were lower than those for developed countries. The overall male/female ratio was 2.3.
Conclusions
There was a trend toward a reduced incidence, for some lymphoma subtypes, in particular for NOS lymphomas, which may be the result of improvement in diagnostic techniques.
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Acknowledgments
The authors thank the personnel of the Mexican Childhood Cancer Registry and José Darío Martínez-Ezquerro for their aid in the review of the collected information and Veronica Yakoleff for translation and editing of the manuscript and for helpful comments. This research was funded by Fondo de Investigación en Salud del Instituto Mexicano del Seguro Social, reg. FIS/IMSS/PROT/G13/1199.
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The authors declare that they have no conflict of interest.
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Rendón-Macías, M.E., Valencia-Ramón, E.A., Fajardo-Gutiérrez, A. et al. Childhood lymphoma incidence patterns by ICCC-3 subtype in Mexico City metropolitan area population insured by Instituto Mexicano del Seguro Social, 1996–2010. Cancer Causes Control 26, 849–857 (2015). https://doi.org/10.1007/s10552-015-0558-8
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DOI: https://doi.org/10.1007/s10552-015-0558-8