The burden of Burkitt lymphoma in Africa.

Africa Burkitt lymphoma Epidemiology Epstein Barr virus Incidence

Journal

Infectious agents and cancer
ISSN: 1750-9378
Titre abrégé: Infect Agent Cancer
Pays: England
ID NLM: 101276559

Informations de publication

Date de publication:
2019
Historique:
received: 21 05 2019
accepted: 24 07 2019
entrez: 8 8 2019
pubmed: 8 8 2019
medline: 8 8 2019
Statut: epublish

Résumé

Burkitt lymphoma (BL) is a relatively common cancer of childhood in tropical Africa, although its precise incidence and continent-wide geographic distribution have not been previously systematically studied. Using the methods employed to produce national estimates of cancer incidence for the "Globocan" series of the International Agency for Research on Cancer, along with detailed information on cancer incidence by histological subtype from cancer registries in Africa, we estimate the numbers and rates of incidence by sex, age group, country and region of Africa. We estimate that the number of new cases that occurred in 2018 to be about 3900, two thirds in males, and 81% in children aged 0-14. On a national basis, the geographic distribution of incidence rates among children in sub-Saharan Africa resembles that of the prevalence of infection with Falciparum malaria. An estimated 81% of cases are associated with infection with Epstein Barr virus (EBV). BL comprises almost 50% of childhood of non-Hodgkin lymphoma in Africa, almost all of which are associated with EBV, with the geographic distribution - at least in sub Saharan Africa - mediated by infection with malaria.

Sections du résumé

BACKGROUND BACKGROUND
Burkitt lymphoma (BL) is a relatively common cancer of childhood in tropical Africa, although its precise incidence and continent-wide geographic distribution have not been previously systematically studied.
METHODS METHODS
Using the methods employed to produce national estimates of cancer incidence for the "Globocan" series of the International Agency for Research on Cancer, along with detailed information on cancer incidence by histological subtype from cancer registries in Africa, we estimate the numbers and rates of incidence by sex, age group, country and region of Africa.
RESULTS RESULTS
We estimate that the number of new cases that occurred in 2018 to be about 3900, two thirds in males, and 81% in children aged 0-14. On a national basis, the geographic distribution of incidence rates among children in sub-Saharan Africa resembles that of the prevalence of infection with Falciparum malaria. An estimated 81% of cases are associated with infection with Epstein Barr virus (EBV).
CONCLUSIONS CONCLUSIONS
BL comprises almost 50% of childhood of non-Hodgkin lymphoma in Africa, almost all of which are associated with EBV, with the geographic distribution - at least in sub Saharan Africa - mediated by infection with malaria.

Identifiants

pubmed: 31388351
doi: 10.1186/s13027-019-0236-7
pii: 236
pmc: PMC6670145
doi:

Types de publication

Journal Article

Langues

eng

Pagination

17

Déclaration de conflit d'intérêts

Competing interestsNo conflicts of interest.

Références

Blood Cells Mol Dis. 2004 Nov-Dec;33(3):330-7
pubmed: 15528153
Nat Rev Microbiol. 2005 Feb;3(2):182-7
pubmed: 15685227
Paediatr Perinat Epidemiol. 1990 Jul;4(3):303-24
pubmed: 2374749
Br J Haematol. 2016 Mar;172(5):716-23
pubmed: 26898194
Pediatr Hematol Oncol. 2015 May;32(4):239-49
pubmed: 25871614
Int J Cancer. 2019 Apr 15;144(8):1941-1953
pubmed: 30350310
Blood. 2019 Mar 21;133(12):1313-1324
pubmed: 30617194
Paediatr Int Child Health. 2012 May;32(2):82-5
pubmed: 22595214
IARC Sci Publ. 1985;(60):97-105
pubmed: 2998997
Afr Health Sci. 2007 Sep;7(3):166-75
pubmed: 18052871
Int J Cancer. 2007 Jan 1;120(1):121-7
pubmed: 17019706
Ecancermedicalscience. 2017 Jul 28;11:755
pubmed: 28900468
Br J Cancer. 1973 Nov;28(5):469-72
pubmed: 4758376
Lancet. 2012 Mar 31;379(9822):1234-44
pubmed: 22333947
Oncologist. 2008 May;13(5):577-85
pubmed: 18515742
Int J Cancer. 1979 Mar 15;23(3):330-6
pubmed: 437917
IARC Monogr Eval Carcinog Risks Hum. 2014;104:9-350
pubmed: 26173303
IARC Monogr Eval Carcinog Risks Hum. 2012;100(Pt B):1-441
pubmed: 23189750
Hematology Am Soc Hematol Educ Program. 2007;:277-84
pubmed: 18024641

Auteurs

Lucia Hämmerl (L)

1Institute of Medical Epidemiology, Biometrics and Informatics, Medical Faculty of Martin Luther University Halle-Wittenberg Germany, Magdeburger Straße 8, 06112 Halle, Germany.

Murielle Colombet (M)

2Section of Cancer Information, International Agency for Research on Cancer, 150 cours Albert Thomas, 69372 Lyon Cedex 08, France.

Rosemary Rochford (R)

3Department of Immunology and Microbiology, University of Colorado Anschutz Medical Campus, Aurora, CO USA.

David Martin Ogwang (DM)

4Gulu Cancer Registry, St. Mary's Hospital Lacor, P.O. Box 180, Gulu, Uganda.

Donald Maxwell Parkin (DM)

5Nuffield Department of Population Health, University of Oxford, Oxford, OX3 7FL UK.
African Cancer Registry Network, 267 Banbury Road, Oxford, OX2 7HT UK.

Classifications MeSH