Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey.
University of Health Sciences, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Hematology Clinic and Bone Marrow Transplantation Unit, Ankara, Turkey.
J Cancer Res Ther. 2021 Jul-Sep;17(4):951-955. doi: 10.4103/jcrt.JCRT_465_19.
Non-Hodgkin's lymphoma and Hodgkin's lymphomas (HL) are lymphoid neoplasms. Hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) are viruses that could proliferate in lymphoid tissues. These viruses may cause lymphoproliferative diseases. The aim of this study was to evaluate the seroprevalence of HBV, HCV, and HIV in patients with diffuse large B-cell lymphoma (DLBCL) and HL, to compare the relationship between these two disease groups and to determine the relationship between the three viruses and their characteristics.
The study was a retrospective study. Patients who were followed up in hematology and hepatitis outpatient units between January 01, 2012, and May 01, 2019, were included in the study.
A statistically significant relationship was observed between the disease groups in terms of hepatitis B surface antigen (HBsAg), hepatitis B core (HBc) IgG antibody, hepatitis B e antigen (HBeAg), and anti-HBe seropositivities (P = 0.004, P = 0.006, P = 0.041, and P = 0.014, respectively). There was also a statistically significant relationship between the disease groups in terms of anti-HCV seropositivity (P = 0.029). HBsAg, anti-HBc IgG, HBeAg, anti-Hbe, and HCV seropositivity rates were higher in patients with DLBCL than in patients with HL.
These findings suggest that there may be a relationship between hepatitis viruses and DLBCL. Evaluation of HBV and HCV infections in these patients before starting treatment is thought to be beneficial in initiating antiviral prophylaxis to prevent reactivation in seropositive cases. In addition, care should be taken for the development of lymphoma in the follow-up of HCV and HBV infections.
非霍奇金淋巴瘤和霍奇金淋巴瘤(HL)是淋巴系统肿瘤。乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)是可在淋巴组织中增殖的病毒。这些病毒可能导致淋巴增生性疾病。本研究旨在评估弥漫性大 B 细胞淋巴瘤(DLBCL)和 HL 患者中 HBV、HCV 和 HIV 的血清流行率,比较这两组疾病之间的关系,并确定三种病毒及其特征之间的关系。
本研究为回顾性研究。纳入 2012 年 1 月 1 日至 2019 年 5 月 1 日在血液科和肝炎门诊就诊的患者。
在乙型肝炎表面抗原(HBsAg)、乙型肝炎核心(HBc)IgG 抗体、乙型肝炎 e 抗原(HBeAg)和抗-HBe 血清阳性率方面,两组疾病之间存在统计学显著关系(P=0.004、P=0.006、P=0.041 和 P=0.014)。在抗 HCV 血清阳性率方面,两组疾病之间也存在统计学显著关系(P=0.029)。DLBCL 患者的 HBsAg、抗-HBc IgG、HBeAg、抗-Hbe 和 HCV 血清阳性率高于 HL 患者。
这些发现表明肝炎病毒与 DLBCL 之间可能存在关系。在开始治疗前评估这些患者的 HBV 和 HCV 感染情况,被认为有利于对血清阳性病例启动抗病毒预防,以防止再激活。此外,在 HCV 和 HBV 感染的随访中应注意淋巴瘤的发生。