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以色列年轻成年人中霍奇金淋巴瘤发病率急剧上升。

A sharp rise in the incidence of Hodgkin's lymphoma in young adults in Israel.

作者信息

Ariad Samuel, Lipshitz Irena, Benharroch Daniel, Gopas Jacob, Barchana Micha

机构信息

Department of Oncology, Soroka Medical Center, and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.

出版信息

Isr Med Assoc J. 2009 Aug;11(8):453-5.

Abstract

BACKGROUND

Hodgkin's lymphoma is a distinct primary solid tumor of the immune system that shows wide variation in incidence among different geographic regions and among various races. It was previously suggested that susceptible people living in certain parts of Israel had a higher risk of HL because of exposure to unidentified environmental factors in these regions. Compared with other parts of Israel, these regions were characterized by a higher proportion of Israeli-born Jews.

OBJECTIVES

To study time trends in the incidence rate of HL in Israeli-born Jews of all age groups during the years 1960-2005.

RESULTS

A total of 4812 Jewish cases of HL were reported to the Israel Cancer Registry during the study period 1960-2005. There has been a persistent increase in the age-standardized incidence rate of HL, all subtypes pooled, in Israeli-born Jews in both men and women. The age distribution pattern in both genders was bimodal in all periods. The highest incidence was observed in the 20-24 year age group: for women (9.13 per 100,000 per year) during the period 1988-1996, and for men (6.60 per 100,000 per year) during the period 1997-2005.

CONCLUSIONS

The reported incidence level of HL in Israeli-born young adult Jews in Israel has increased in recent years to high levels compared with other western countries. Our findings suggest a cohort effect to unidentified factors affecting Israeli-born young adult Jews in Israel.

摘要

背景

霍奇金淋巴瘤是一种独特的原发性免疫系统实体瘤,在不同地理区域和不同种族中的发病率差异很大。此前有人认为,生活在以色列某些地区的易感人群患霍奇金淋巴瘤的风险较高,原因是接触了这些地区不明的环境因素。与以色列其他地区相比,这些地区的特点是以色列出生的犹太人比例较高。

目的

研究1960 - 2005年期间所有年龄组以色列出生的犹太人中霍奇金淋巴瘤发病率的时间趋势。

结果

在1960 - 2005年研究期间,以色列癌症登记处共报告了4812例犹太霍奇金淋巴瘤病例。在以色列出生的犹太男性和女性中,所有亚型合并计算的霍奇金淋巴瘤年龄标准化发病率持续上升。在所有时期,两性的年龄分布模式均为双峰型。发病率最高的是20 - 24岁年龄组:1988 - 1996年期间女性发病率为每年每10万人9.13例,1997 - 2005年期间男性发病率为每年每10万人6.60例。

结论

与其他西方国家相比,近年来以色列报告的以色列出生的年轻成年犹太人群体中霍奇金淋巴瘤发病率已升至较高水平。我们的研究结果表明,存在一种队列效应,即存在影响以色列出生的以色列年轻成年犹太人的不明因素。

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