Abstract
Objectives
Investigating the relationship between skin type, UV exposure, and lymphoid malignancies (LM).
Methods
We conducted a hospital-based case–control study in France, including 813 incident cases of non-Hodgkin’s lymphoma (NHL), Hodgkin’s lymphoma (HL), lymphoproliferative syndrome (LPS) or multiple myeloma and 748 controls.
Results
Positive associations between HL and blond/red hair (OR = 1.8 [0.8–3.8]), very fair/fair skin (OR = 1.6 [1.0–2.5]) were observed. High propensity to burn was associated with HL (OR = 1.5 [1.0–2.2]) and LPS (OR = 1.4 [1.0–2.1]). Poor ability to tan was significantly associated with HL (OR = 1.7 [1.0–2.8]). Having light hair with high propensity to burn was associated with NHL (OR = 1.5 [0.9–2.5]) and significantly with HL (OR = 3.4 [1.4–8.4]). Having dark hair with high propensity to burn was significantly associated with LPS (OR = 1.5 [1.0–2.2]). The associations with HL and NHL were significant for men only, with significant interactions. Outdoors activities since leaving school or in the last decade were not related to LM. Only an almost negative trend was observed. Prior exposure to artificial UV was not associated with LM.
Conclusion
These results suggest a positive association between the most reactive and palest skin types and NHL or HL in men and do not rule out a slight negative relationship between UV exposure and LM.
Similar content being viewed by others
References
Zheng T, Mayne ST, Boyle P, Holford TR, Liu WL, Flannery J (1992) Epidemiology of non-Hodgkin lymphoma in Connecticut 1935–1988. Cancer 70:840–849
Cartwright R, McNally R, Staines A (1994) The increasing incidence of non-Hodgkin’s lymphoma (NHL): the possible role of sunlight. Leuk Lymphoma 14:387–394
Norval M (2006) The mechanisms and consequences of ultraviolet-induced immunosuppression. Prog Biophys Mol Biol 92:108–118
Ekstrom-Smedby K (2006) Epidemiology and etiology of non-Hodgkin lymphoma—a review. Acta Oncol 45:258–271
Hu S, Federman DG, Ma F, Kirsner RS (2005) Skin cancer and non-Hodgkin’s lymphoma: examining the link. Dermatol Surg 31:76–82
McMichael AJ, Giles GG (1996) Have increases in solar ultraviolet exposure contributed to the rise in incidence of non-Hodgkin’s lymphoma? Br J Cancer 73:945–950
Bentham G (1996) Association between incidence of non-Hodgkin’s lymphoma and solar ultraviolet radiation in England and Wales. BMJ 312:1128–1131
Adami J, Gridley G, Nyren O et al (1999) Sunlight and non-Hodgkin’s lymphoma: a population-based cohort study in Sweden. Int J Cancer 80:641–645
van WE, Savitz DA (2001) Occupational sunlight exposure and mortality from non-Hodgkin lymphoma among electric utility workers. J Occup Environ Med 43:548–553.
Hakansson N, Floderus B, Gustavsson P, Feychting M, Hallin N (2001) Occupational sunlight exposure and cancer incidence among Swedish construction workers. Epidemiology 12:552–557
Hughes AM, Armstrong BK, Vajdic CM et al (2004) Pigmentary characteristics, sun sensitivity and non-Hodgkin lymphoma. Int J Cancer 110:429–434
Newton R (1995) Non-Hodgkin’s lymphoma and skin cancer. American data refute ultraviolet hypothesis. BMJ 311:750–751
Hartge P, Devesa SS, Grauman D, Fears TR, Fraumeni JF Jr (1996) Non-Hodgkin’s lymphoma and sunlight. J Natl Cancer Inst 88:298–300
Freedman DM, Zahm SH, Dosemeci M (1997) Residential and occupational exposure to sunlight and mortality from non-Hodgkin’s lymphoma: composite (threefold) case–control study. BMJ 314:1451–1455
Grant WB (2002) An estimate of premature cancer mortality in the U.S. due to inadequate doses of solar ultraviolet-B radiation. Cancer 94:1867–1875
Grant WB (2003) Ecologic studies of solar UV-B radiation and cancer mortality rates. Recent Results Cancer Res 164:371–377
Hu S, Ma F, Collado-Mesa F, Kirsner RS (2004) Ultraviolet radiation and incidence of non-Hodgkin’s lymphoma among Hispanics in the United States. Cancer Epidemiol Biomarkers Prev 13:59–64
Hughes AM, Armstrong BK, Vajdic CM et al (2004) Sun exposure may protect against non-Hodgkin lymphoma: a case–control study. Int J Cancer 112:865–871
Smedby KE, Hjalgrim H, Melbye M et al (2005) Ultraviolet radiation exposure and risk of malignant lymphomas. J Natl Cancer Inst 97:199–209
Weihkopf T, Becker N, Nieters A et al (2007) Sun exposure and malignant lymphoma: a population-based case–control study in Germany. Int J Cancer 120:2445–2451
Hartge P, Lim U, Freedman DM et al (2006) Ultraviolet radiation, dietary vitamin D, and risk of non-Hodgkin lymphoma (United States). Cancer Causes Control 17:1045–1052
Kricker A, Armstrong B (2006) Does sunlight have a beneficial influence on certain cancers? Prog Biophys Mol Biol 92:132–139
Holick MF (2006) Vitamin D: its role in cancer prevention and treatment. Prog Biophys Mol Biol 92:49–59
Orsi L, Troussard X, Monnereau A et al (2007) Occupation and lymphoid malignancies: results from a French case–control study. J Occup Environ Med 49 (in press)
Monnereau A, Orsi L, Troussard X et al (2007) History of infections and vaccinations and risk of lymphoid neoplasms: does influenza immunization reduce the risk? Leukemia 21:2075–2079
Nakatsuka S, Aozasa K (2006) Epidemiology and pathologic features of Hodgkin lymphoma. Int J Hematol 83:391–397
Guinot C, Malvy DJ, Latreille J et al (2005) Sun-reactive Skin Type in 4912 French adults participating in the SU.VI.MAX study. Photochem Photobiol 81:934–940
Acknowledgments
This work was supported by grants from the Association pour la Recherche contre le Cancer, the Fondation de France, AFSSET, and a donation from Faberge employees. The authors are grateful to Sandra Leguyader-Peyrou, Marie-Astrid Caillet, Satya Garnier-Haoussine, Virginie Duchenet, Véronique Chaigneau, Anne-Laure Demarty, Dominique Gillet, and Magali Viaud, who contributed to the interviews, and to Martine Valdes, Christine Henry, Nathalie Jourdan-Da Silva, and Dominique Ridondelli for technical assistance. The authors would also like to express their gratitude to the heads of department who helped them include patients as controls: Professors Vital, Durandeau and Le Guillou in Bordeaux, Lefevre and Le Goff in Brest, Vielpeau and Marcelli in Caen, Migaux, Duquesnois and Mazeman in Lille, Passuti and Maugars in Nantes, and Mansat and Fournier in Toulouse, and to Isabelle Soubeyran, who helped with the revision of the diagnoses, and the staff of the Hematological Malignancies Registry of Gironde, who helped with the classification and coding. We are grateful to Andrew Mullarky for his skilful revision of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Grandin, L., Orsi, L., Troussard, X. et al. UV radiation exposure, skin type and lymphoid malignancies: results of a French case–control study. Cancer Causes Control 19, 305–315 (2008). https://doi.org/10.1007/s10552-007-9093-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10552-007-9093-6