CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2013; 34(04): 242-246
DOI: 10.4103/0971-5851.125235
ORIGINAL ARTICLE

Malignant lymphoma in Eastern India: A retrospective analysis of 455 cases according to World Health Organization classification

Santosh Kumar Mondal
Department of Pathology, Medical College, Kolkata, West Bengal, India
,
Palash Kumar Mandal
Department of Pathology, Medical College, Kolkata, West Bengal, India
,
Tarun Kumar Samanta
Department of Paediatrics, Medical College, Kolkata, West Bengal, India
,
Subrata Chakaborty
Department of Radiotherapy, Medical College, Kolkata, West Bengal, India
,
Saptarshi Dutta Roy
Department of Pathology, Medical College, Kolkata, West Bengal, India
,
Shravasti Roy
Department of Pathology, Thakurpukur Cancer Hospital, Kolkata, West Bengal, India
› Author Affiliations

Abstract

Background: Malignant lymphoma (ML) is one of the most common cancers and is most prevalent in developed countries. The distribution of different subtypes of ML varies in the different geographical locations according to World Health Organization (WHO) Classification. Aims and Objectives : The study was aimed to analyze the different patterns of ML in Eastern India and to compare it with other geographical locations. Materials and Methods: Four hundred and fifty five patients of two large hospitals in Eastern India were included over a period of four years and were categorized according to WHO classification, using the morphology and immunohistochemistry. Results: There were 347 (76.3%) non Hodgkin lymphomas (NHL), and 108 (23.7%) Hodgkin lymphomas (HL). Diffuse large B-cell lymphoma was the most common of the NHL type (35.2%) followed by the follicular lymphoma (19.3%). B-cell lymphoblastic lymphoma was the least common type of NHL (1.4%). Mixed cellularity (33.3%) and nodular sclerosis (26.9%) were the two most common type of HL. Childhood lymphoma comprised of 12.5%of all ML. T-cell NHL and HL were the common lymphomas in this age group. Conclusion: Incidence of follicular lymphoma is lower compared to western studies and mixed cellularity is the most common subtype of HL unlike nodular sclerosis subtype in Western world. Burkitt′s type NHL though is the most common subtype of childhood ML in many studies. However, in our study, T-cell NHL is the most common type of childhood ML.



Publication History

Article published online:
19 July 2021

© 2013. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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  • References

  • 1 Jaffe ES, Harris NL, Stein H, Vardman JS. World Health Organization. Classification of Tumours. Pathology and Genetics. Tumours of Hematologic and Lymphoid Tissues. 4 th ed. 2007, Lyon: IARC Press 2008.
  • 2 Yaqo RT, Hughson MD, Sulayvani FK, Al-Allawi NA. Malignant lymphoma in northern Iraq: A retrospective analysis of 270 cases according to the World Health Organization classification. Indian J Cancer 2011;48:446-51.
  • 3 Aoki R, Karube K, Sugita Y, Nomura Y, Shimizu K, Kimura Y, et al. Distribution of malignant lymphoma in Japan: Analysis of 2260 cases, 2001-2006. Pathol Int 2008;58:174-82.
  • 4 Almasri NM. Hodgkins lymphoma in North Jordan. Does it have a different pattern? Saudi Med J 2004;25:1917-21.
  • 5 Naresh KN, Advani S, Adde M, Aziz Z, Banavali S, Bhatia K, et al. Report of an International Network of Cancer Treatment and Research workshop on non-Hodgkin′s lymphoma in developing countries. Blood Cells Mol Dis 2004;33:330-7.
  • 6 Chakrabarti S, Sarkar S, Goswami BK, Mondal S, Roy A, Das S. Hodgkin′s and Non-Hodgkin′s lymphomas in an Indian rural medical institution: Comparative clinicopathologic analysis. Asian Pac J Cancer Prev 2010;11:1605-8.
  • 7 Ramani A, Kumar KA, Rao KK, Vidyasagar MS, Kundaje GN. Clinico-pathological profile of lymphomas in south India: A prospective rural referral hospital study of 103 cases. J Assoc Physicians India 1991;39:322-5.
  • 8 Higgins RA, Blankenship JE, Kinney MC. Application of immunohistochemistry in the diagnosis of non-Hodgkin and Hodgkin lymphoma. Arch Pathol Lab Med 2008;132:441-61.
  • 9 Steven HS, Elias C, Nancy LH, Elaine SJ, Stefano AP, Herald S, et al. World Health Organization Classification of Tumours of Haematopoietic and Lymphoid Tissue. Lyon: IRC Press; 2008.
  • 10 Rao IS. Role of immunohistochemistry in lymphoma. Indian J Med Paediatr Oncol 2010;31:145-7.
  • 11 Haddadin WJ. Malignant lymphoma in Jordan: A retrospective analysis of 347 cases according to the World Health Organization classification. Ann Saudi Med 2005;25:398-403.
  • 12 Turner JJ, Hughes AM, Kricker A, Milliken S, Grulich A, Kaldor J, et al. Use of the WHO lymphoma classification in a population-based epidemiological study. Ann Oncol 2004;15:631-7.
  • 13 Akpek G, Seifter EJ, Barowitz MJ. A clinicians guide to the update REA WHO classification of non-Hodgkin′s lymphoma: Part II (aggressive lymphoma). Turk J Cancer 2000;30:53-67.
  • 14 Yeole BB. Trends in the incidence of Non-Hodgkin′s lymphoma in India. Asian Pac J Cancer Prev 2008;9:433-6.
  • 15 Haddadin WJ. Malignant lymphoma in Jordan: A retrospective analysis of 347 cases according to the World Health Organization classification. Ann Saudi Med 2005;25:398-403.
  • 16 Sukpanichnant S, Sonakul D, Piankijagum A, Wanachiwanawin W, Veerakul G, Mahasandana C, et al. Malignant lymphoma in Thailand: Changes in the frequency of malignant lymphoma determined from a histopathologic and immunophenotypic analysis of 425 cases at Siriraj Hospital. Cancer 1998;83:1197-204.
  • 17 Yin HF, Li T, Li JX. Retrospective analysis of 304 cases of malignant lymphomas in pathology: Study and practice of the WHO classification of lymphoid neoplasms. Zhonghua Yi Xue Za Zhi 2003;83:1556-60.
  • 18 Mushtaq S, Akhtar N, Jamal S, Mamoon N, Khadim T, Sarfaraz T, et al. Malignant lymphomas in Pakistan according to the WHO classification of lymphoid neoplasms. Asian Pac J Cancer Prev 2008;9:229-32.
  • 19 Getachew A. Malignant lymphoma in western Ethiopia. East Afr Med J 2001;78:402-4.
  • 20 Al-Diab AI, Siddiqui N, Sogiawalla FF, Fawzy EM. The changing trends of adult Hodgkin′s disease in Saudi Arabia. Saudi Med J 2003;24:617-22.
  • 21 Anderson JR, Armitage JO, Weisenburger DD. Epidemiology of the non-Hodgkin′s lymphomas: Distributions of the major subtypes differ by geographic locations. Non-Hodgkin′s Lymphoma Classification Project. Ann Oncol 1998;9:717-20.
  • 22 Naresh KN, Srinivas V, Soman CS. Distribution of various subtypes of non-Hodgkin′s lymphoma in India: A study of 2733 lymphomas using REAL and WHO classifications. Hematology 2008;13:163-9.
  • 23 Lee WI, Lee JH, Kim IS, Lee KN, Kim SH. Bone marrow involvement by non-Hodgkin′s lymphom. J Korean Med Sci 1994;9:402-8.
  • 24 AlShemmari SH, Ameen RM, Sajnani KP. Extranodal lymphoma: A comparative study. Hematology 2008;13:163-9.
  • 25 Chen WL, Tsai WC, Chao TY, Sheu LF, Chou JM, Kao WY, et al. The clinicopathological analysis of 303 cases with malignant lymphoma classified according to the World Health Organization classification system in a single institute of Taiwan. Ann Hematol 2010;89:553-62.
  • 26 Jaffe ES, Zarate-Osorno A, Kingma DW, Raffeld M, Medeiros LJ. The interrelationship between Hodgkin′s disease and non-Hodgkin′s lymphomas. Ann Oncol 1994;5:7-11.
  • 27 Amini RM, Enblad G. Relationship between Hodgkin′s and non-Hodgkin′s lymphomas. Med Oncol 2003;20:211-20.