Distribution of Lymphoid Neoplasms in China

Jian Sun, Qun‐pei Yang, Zhaohui Lu, Miaoxia He, Li Gao, Minghua Zhu, Lu Sun, Lixin Wei, Min� Li, Cuiling Liu,

American Journal of Clinical Pathology · 2012 · 279 citations · 27 references

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The study aimed to estimate the distribution of lymphoid neoplasms in China. We performed a comprehensive analysis of 4,638 primary and resected biopsy specimens from 2004 to 2008 at five large hospitals, stratifying by subtype, age, sex, and lesion. Mature B‑cell neoplasms comprised 64.3% of cases, followed by mature T/NK‑cell (23.3%) and Hodgkin lymphoma (8.6%); diffuse large B‑cell lymphoma was the most frequent subtype (36.2%), male patients had higher rates for most subtypes, and the overall epidemiology differed from Western countries but resembled other Far Eastern populations.

Abstract

To estimate the distribution of lymphoid neoplasms in China, we conducted a comprehensive analysis, based on subtype, age, sex, and lesion, of primary and resected biopsy specimens of 4,638 lymphoid neoplasms diagnosed from 2004 to 2008 at 5 large hospitals. Of the 4,638 patients, mature B-cell neoplasms accounted for 64.3% of all lymphoid neoplasms, mature T/NK-cell neoplasms for 23.3%, and Hodgkin lymphoma for 8.6%. The most common subtype was diffuse large B-cell lymphoma (36.2%), followed by extranodal NK/T-cell lymphoma, nasal type (11.0%), classic Hodgkin lymphoma (8.4%), extranodal marginal zone B-cell lymphoma (7.7%), plasmacytic neoplasm (5.0%), and peripheral T-cell lymphoma, not otherwise specified (3.9%). For most lymphoid neoplasm subtypes, male subjects showed higher rates than female subjects. In summary, our study showed that the epidemiologic features of lymphoid neoplasms in China are distinct from those in Western countries and similar in many ways to those in other countries of the Far East.

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