Non-Hodgkin lymphoma among young adults with and without AIDS in Italy.

Abstract:

:To compare the presentation and prognosis of non-Hodgkin lymphoma (NHL) in people with AIDS (PWA) and in the general Italian population, a record linkage study was carried out. The fraction of NHLs attributable to HIV/AIDS was also estimated. Information from the National AIDS Registry (RAIDS) was linked with records from 13 cancer registries (CR), covering about 15% of the Italian population. During the period 1985--94, among PWA ages 15--49, 136 NHLs were identified (8% of all NHLs) and were compared with 1,481 concurrent incident NHL cases of the same age group among non-PWA. Percentages above 13% of all NHLs were registered in the northern areas of Genoa and Varese, i.e., the most heavily affected by the AIDS epidemic. Between 1 year prior to and 3.5 years after AIDS diagnosis, PWA showed an overall standardised incidence ratio (SIR) for NHL of 302. SIR was particularly high (394) within 3 months after AIDS diagnosis and subsequently declined to 170. SIR was somewhat higher in females (428) than in males (280) but similar among intravenous-drug users (299) and other HIV-transmission groups (309). High-grade NHL, particularly immunoblastic and Burkitt's lymphoma, were twice as frequent among PWA than non-PWA. Conversely, low-grade NHL were less frequent. Except for the high proportion of brain localisation, no clear difference emerged in the pattern of NHL presentation site in PWA compared with non-PWA. At variance with NHL in the general population, among PWA histological grade had little impact on survival, which overall appeared to be very poor (2-year survival: 10%; 95% confidence interval: 3%--17%). Our present linkage of RAIDS and CRs represents an efficient tool for the surveillance of trends in incidence and survival of NHL among PWA in Italy.

journal_name

Int J Cancer

authors

Dal Maso L,Rezza G,Zambon P,Tagliabue G,Crocetti E,Vercelli M,Zanetti R,Falcini F,Tonini G,Mangone L,De Lisi V,Ferretti S,Tumino R,Stanta G,Vitarelli S,Serraino D,Franceschi S,Cancer and AIDS Registry Linkage Study.

doi

10.1002/1097-0215(20010801)93:3<430::aid-ijc1344>3

keywords:

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

430-5

issue

3

eissn

0020-7136

issn

1097-0215

pii

10.1002/1097-0215(20010801)93:3<430::AID-IJC1344>3

journal_volume

93

pub_type

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