Abstract
The frequency of subtypes of lymphoid neoplasms was determined in a prospective series of 831 patients presenting at 29 Shanghai hospitals over a 4-year period. Diagnosis and classification was established in a single laboratory according to the 2001 WHO classification system. The frequency of non-Hodgkin lymphoma was 87.6% (n = 728) and Hodgkin lymphoma was 12.4% (n = 103). The most prevalent NHL subtypes diagnosed using WHO criteria were diffuse large B cell lymphoma (DLBCL), precursor B lymphoblastic leukemia/lymphoma and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). Although a low incidence has been reported in some Asian populations, CLL/SLL was commonly encountered, indicating that chronic lymphoid neoplasms are not rare in Shanghai. Consistent with previous reports, our findings indicate a decrease in the frequency of follicular lymphoma and an increase in T cell neoplasms compared to the West. Precursor T lymphoblastic leukemia/lymphoma, anaplastic large T cell lymphoma, aggressive NK cell leukemia, angioimmunoblastic T cell lymphoma and peripheral T cell lymphoma were prominent subtypes of T cell NHL.
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References
Aisenberg AC. Understanding non-Hodgkin’s lymphoma. Sci Med. 1997;4:28–37.
Jaffe E, Harris N, Stein H, Vardiman J. World Health Organization classification of tumours. Pathology and genetics of tumours of haematopoietic and lymphoid tissues. Lyon: IARC Press; 2001.
Harris NL, Jaffe ES, Stein H, et al. A revised European-American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood. 1994;84:1361–92.
Harrington DS, Ye Y, Weisenburger DD, et al. Malignant Lymphoma in Nebraska and Guangzhou, China. Hum Pathol. 1987;18:924–8.
Ohshima K, Suzumiya J, Sato K, Kanda M, Haraoka S, Kikuchi M. B-cell lymphoma of 708 cases in Japan: incidence rates and clinical prognosis according to the REAL classification. Cancer Lett. 1999;135:73–81.
Ko Y-H, Kim C-W, Park C-S, et al. REAL classification of malignant lymphomas in the Republic of Korea: incidence of recently recognized entities and changes in clinicopathologic features. Cancer. 1998;83:806–11.
Intragumtornchai T, Wannakrairoj P, Chaimongkol B, et al. Non-Hodgkin’s lymphomas in Thailand: a retrospective pathologic and clinical analysis of 1,391 cases. Cancer. 1996;78:1813–9.
Ho FC, Todd D, Loke SL, Ng RP, Khoo RK. Clinico-pathological features of malignant lymphomas in 294 Hong Kong Chinese patients, retrospective study covering an eight-year period. Int J Cancer. 1984;34:143–8.
Kwong YL, Wong KF, Chan LC, et al. The spectrum of chronic lymphoproliferative disorders in Chinese people. An analysis of 64 cases. Cancer. 1994;74:174–81.
World Health Organization. World cancer report. Lyon: IARC Press; 2003.
Alexander DD, Mink PJ, Adami HO, et al. The non-Hodgkin lymphomas: a review of the epidemiologic literature. Int J Cancer. 2007;120:1–39.
Cucuianu A, Patiu M, Duma M, et al. Hepatitis B and C virus infection in Romanian non-Hodgkin’s lymphoma patients. Br J Haematol. 1999;107:353–6.
Wang F, Xu RH, Han B, et al. High incidence of Hepatitis B virus infection in B-cell subtype non-Hodgkin lymphoma compared with other cancers. Cancer. 2007;109:1360–4.
Wang J, Young L, Win W, Taylor CR. Distribution and Zap-70 expression of WHO lymphoma categories in Shanxi, China: a review of 447 cases using a tissue microarray technique. Appl Immunohistochem Mol Morphol. 2005;13:323–32.
Mitelman F. An international system for human cytogenetic nomenclature: recommendations of the International Standing Committee on Human Cytogenetic Nomenclature, Memphis, TN, October 1994. New York: Karger; 1995.
Xiao C, Su ZL, Wu QL, et al. Clinical and pathological reassessment of 493 cases of non-Hodgkin’s lymphomas according to current WHO classification of lymphoid neoplasms. (Chinese). Chinese Journal of Pathology. 2005;34:22–7.
Shih LY, Liang DC. Non-Hodgkin’s lymphomas in Asia. Hematol Oncol Clin North Am. 1991;5:983–1001.
Armitage JO, Weisenburger DD. New approach to classifying non-Hodgkin’s lymphomas: clinical features of the major histologic subtypes. Non-Hodgkin’s lymphoma classification project. J Clin Oncol. 1998;16:2780–95.
Copelan EA, McGuire EA. The biology and treatment of acute lymphoblastic leukemia in adults. Blood. 1995;85:1151–68.
Gokbuget N, Hoelzer D. Recent approaches in acute lymphoblastic leukemia in adults. Rev Clin Exp Hematol. 2002;6:114–41.
Ohshima K, Suzumiya J, Kikuchi M. The World Health Organization classification of malignant lymphoma: incidence and clinical prognosis in HTLV-1-endemic area of Fukuoka. Pathol Int. 2002;52:1–12.
Chuang SS, Lin CN, Li CY. Malignant lymphoma in Southern Taiwan according to the revised European-American classification of lymphoid neoplasms. Cancer. 2000;89:1586–92.
Chen CY, Yao M, Tang JL, et al. Chromosomal abnormalities of 200 Chinese patients with non-Hodgkin’s lymphoma in Taiwan: with special reference to T-cell lymphoma. Ann Oncol. 2004;15:1091–6.
Ryder J, Wang X, Bao L, Gross S, Hua F, Irons R. Aggressive natural killer cell leukemia: report of a Chinese series and review of the literature. Int J Hematol. 2007;85:18–25.
Acknowledgments
We would like to extend our appreciation to Ann Louden for manuscript and clerical assistance and Allan Holsomback for database management. We would also like to thank the participating hospitals including Cancer Hospital, Huashan Hospital, Xinhua Hospital, Long March Hospital, Huang Pu Central District Hospital, Renji Hospital, Ruijin Hospital, Huadong Hospital, Jin An Central Hospital, No. 1 People’s Hospital, No. 5 People’s Hospital, No. 6 People’s Hospital, No. 9 People’s Hospital, Yang Pu Central Hospital, Zha Bei Central Hospital, Shu Guang Hospital, Chang Ning Central Hospital, Tong Ji Hospital, Shong Jin Central Hospital, Zhong Shan Hospital, Railway Hospital, Rong Hua Hospital, Changhai Hospital, Occupational Disease Hospital, Jiading Central Hospital, 455 Hospital, Shidong Hospital, No. 1 Baoshan Hospital, and Putuo Central Hospital.
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Gross, S.A., Zhu, X., Bao, L. et al. A prospective study of 728 cases of non-Hodgkin lymphoma from a single laboratory in Shanghai, China. Int J Hematol 88, 165–173 (2008). https://doi.org/10.1007/s12185-008-0132-1
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DOI: https://doi.org/10.1007/s12185-008-0132-1