Cancer risks among relatives of children with Hodgkin and non-Hodgkin lymphoma

Dong Pang, Robert D Alston, Tim O B Eden, J M Birch

Research output: Contribution to journalArticle

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Abstract

A role for genetic susceptibility in the aetiology of childhood lymphomas was investigated in 454 families of children with histologically confirmed Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) from Northwest England. Cancers in parents were obtained from the UK National Health Service Central Register and in other close relatives by interview with the parents. The cancer incidence among relatives was compared with expected incidence based on cancer registry data for England. There were 197 cancers in relatives (SIR 1.0 95% CI 0.8-1.1). In families of children with HL, there was an excess of HL in the first degree relatives (SIR 5.8 95% CI 1.2-16.9). Excesses of HL diagnosed under population median age (SIR 4.1 95% CI 1.1-10.6) were seen among all relatives and relatives of children who were below the median age at diagnosis (SIR 5.5 95% CI 1.1-16.0). In families of children with NHL, there were non-significant excesses of central nervous system (CNS) tumours in the first degree relatives (SIR 2.9 95% CI 0.8-7.4) and in the second and third degree relatives (SIR 1.5). There were significant excesses of CNS tumours diagnosed under the population median age (SIR 2.8 95% CI 1.1-5.8) in all relatives. Excess CNS tumours were also seen among relatives of children below the median age at diagnosis (SIR 3.2 95% CI 1.1-7.6). In conclusion, genetic susceptibility in some families of children with lymphoma might be operating, but aetiologies in HL and NHL appear to be different. Possible interpretations of our findings, in the context of putative genetic and infectious aetiologies, are discussed.
Original languageEnglish
Pages (from-to)1407-1410
Number of pages4
JournalInternational Journal of Cancer
Volume123
Issue number6
Early online date17 Jun 2008
DOIs
Publication statusPublished - 15 Sep 2008

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Hodgkin Disease
Non-Hodgkin's Lymphoma
Neoplasms
Central Nervous System Neoplasms
Genetic Predisposition to Disease
England
Lymphoma
Parents
Incidence
National Health Programs
Population
Registries
Interviews

Keywords

  • child
  • female
  • genetic predisposition to disease
  • Hodgkin Disease
  • humans
  • incidence
  • lymphoma, non-Hodgkin
  • male
  • neoplasms
  • pedigree
  • registries
  • risk factors
  • familial cancer risk
  • children
  • Hodgkin lymphoma
  • non-Hodgkin lymphoma
  • CNS tumour
  • population-based

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Cancer risks among relatives of children with Hodgkin and non-Hodgkin lymphoma. / Pang, Dong; Alston, Robert D; Eden, Tim O B; Birch, J M .

In: International Journal of Cancer, Vol. 123, No. 6, 15.09.2008, p. 1407-1410.

Research output: Contribution to journalArticle

Pang, Dong ; Alston, Robert D ; Eden, Tim O B ; Birch, J M . / Cancer risks among relatives of children with Hodgkin and non-Hodgkin lymphoma. In: International Journal of Cancer. 2008 ; Vol. 123, No. 6. pp. 1407-1410.
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abstract = "A role for genetic susceptibility in the aetiology of childhood lymphomas was investigated in 454 families of children with histologically confirmed Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) from Northwest England. Cancers in parents were obtained from the UK National Health Service Central Register and in other close relatives by interview with the parents. The cancer incidence among relatives was compared with expected incidence based on cancer registry data for England. There were 197 cancers in relatives (SIR 1.0 95{\%} CI 0.8-1.1). In families of children with HL, there was an excess of HL in the first degree relatives (SIR 5.8 95{\%} CI 1.2-16.9). Excesses of HL diagnosed under population median age (SIR 4.1 95{\%} CI 1.1-10.6) were seen among all relatives and relatives of children who were below the median age at diagnosis (SIR 5.5 95{\%} CI 1.1-16.0). In families of children with NHL, there were non-significant excesses of central nervous system (CNS) tumours in the first degree relatives (SIR 2.9 95{\%} CI 0.8-7.4) and in the second and third degree relatives (SIR 1.5). There were significant excesses of CNS tumours diagnosed under the population median age (SIR 2.8 95{\%} CI 1.1-5.8) in all relatives. Excess CNS tumours were also seen among relatives of children below the median age at diagnosis (SIR 3.2 95{\%} CI 1.1-7.6). In conclusion, genetic susceptibility in some families of children with lymphoma might be operating, but aetiologies in HL and NHL appear to be different. Possible interpretations of our findings, in the context of putative genetic and infectious aetiologies, are discussed.",
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AU - Pang, Dong

AU - Alston, Robert D

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AB - A role for genetic susceptibility in the aetiology of childhood lymphomas was investigated in 454 families of children with histologically confirmed Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) from Northwest England. Cancers in parents were obtained from the UK National Health Service Central Register and in other close relatives by interview with the parents. The cancer incidence among relatives was compared with expected incidence based on cancer registry data for England. There were 197 cancers in relatives (SIR 1.0 95% CI 0.8-1.1). In families of children with HL, there was an excess of HL in the first degree relatives (SIR 5.8 95% CI 1.2-16.9). Excesses of HL diagnosed under population median age (SIR 4.1 95% CI 1.1-10.6) were seen among all relatives and relatives of children who were below the median age at diagnosis (SIR 5.5 95% CI 1.1-16.0). In families of children with NHL, there were non-significant excesses of central nervous system (CNS) tumours in the first degree relatives (SIR 2.9 95% CI 0.8-7.4) and in the second and third degree relatives (SIR 1.5). There were significant excesses of CNS tumours diagnosed under the population median age (SIR 2.8 95% CI 1.1-5.8) in all relatives. Excess CNS tumours were also seen among relatives of children below the median age at diagnosis (SIR 3.2 95% CI 1.1-7.6). In conclusion, genetic susceptibility in some families of children with lymphoma might be operating, but aetiologies in HL and NHL appear to be different. Possible interpretations of our findings, in the context of putative genetic and infectious aetiologies, are discussed.

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KW - male

KW - neoplasms

KW - pedigree

KW - registries

KW - risk factors

KW - familial cancer risk

KW - children

KW - Hodgkin lymphoma

KW - non-Hodgkin lymphoma

KW - CNS tumour

KW - population-based

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