Hodgkin’s lymphoma in Indian children: Prevalence and significance of Epstein–Barr virus detection in Hodgkin’s and Reed–Sternberg cells

Abstract Aim This study was done to document the prevalence of Epstein–Barr virus (EBV) in Hodgkin’s lymphoma (HL) in children of North India. Methods 145 previously untreated children diagnosed with HL from 1991 to 2003 were included. Lymph node (LN) biopsies were studied and classified using World...

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Veröffentlicht in:European journal of cancer (1990) 2007-01, Vol.43 (1), p.161-168
Hauptverfasser: Dinand, Veronique, Dawar, Ramesh, Arya, Laxman S, Unni, Rajani, Mohanty, Binimaya, Singh, Rajvir
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container_end_page 168
container_issue 1
container_start_page 161
container_title European journal of cancer (1990)
container_volume 43
creator Dinand, Veronique
Dawar, Ramesh
Arya, Laxman S
Unni, Rajani
Mohanty, Binimaya
Singh, Rajvir
description Abstract Aim This study was done to document the prevalence of Epstein–Barr virus (EBV) in Hodgkin’s lymphoma (HL) in children of North India. Methods 145 previously untreated children diagnosed with HL from 1991 to 2003 were included. Lymph node (LN) biopsies were studied and classified using World Health Organisation (WHO) classification. EBV detection was done by immunohistochemistry (IHC) and in situ hybridisation (ISH) in 145 cases and 25 age- and sex-matched controls. Patients were treated with chemotherapy alone. Results EBV was detected by IHC in 131 (90.3%) cases and by ISH in 126 (93.3%) out of 135 cases, and in none of the controls examined. With IHC and ISH combined, EBV positivity was seen in 96.6% and was significantly associated with younger age ( p = 0.012) and lower socioeconomic level ( p = 0.007). EBV status had no implication on treatment response and survival. Conclusion EBV detection in 96.6% of childhood HL in a population with almost universal EBV seroconversion, and in none of the control lymph nodes, suggests a causative role of EBV in most cases of Indian childhood HL.
doi_str_mv 10.1016/j.ejca.2006.08.036
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Methods 145 previously untreated children diagnosed with HL from 1991 to 2003 were included. Lymph node (LN) biopsies were studied and classified using World Health Organisation (WHO) classification. EBV detection was done by immunohistochemistry (IHC) and in situ hybridisation (ISH) in 145 cases and 25 age- and sex-matched controls. Patients were treated with chemotherapy alone. Results EBV was detected by IHC in 131 (90.3%) cases and by ISH in 126 (93.3%) out of 135 cases, and in none of the controls examined. With IHC and ISH combined, EBV positivity was seen in 96.6% and was significantly associated with younger age ( p = 0.012) and lower socioeconomic level ( p = 0.007). EBV status had no implication on treatment response and survival. Conclusion EBV detection in 96.6% of childhood HL in a population with almost universal EBV seroconversion, and in none of the control lymph nodes, suggests a causative role of EBV in most cases of Indian childhood HL.</description><identifier>ISSN: 0959-8049</identifier><identifier>EISSN: 1879-0852</identifier><identifier>DOI: 10.1016/j.ejca.2006.08.036</identifier><identifier>PMID: 17113770</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Biological and medical sciences ; Case-Control Studies ; Child ; Child, Preschool ; Children ; Epstein-Barr Virus Infections - epidemiology ; Epstein-Barr Virus Infections - virology ; Epstein–Barr virus ; Female ; Hematology, Oncology and Palliative Medicine ; Herpesvirus 4, Human - isolation &amp; purification ; Hodgkin Disease - epidemiology ; Hodgkin Disease - virology ; Hodgkin’s lymphoma ; Humans ; Hybridisation in situ ; Immunohistocytochemistry ; India - epidemiology ; Infant ; Male ; Medical sciences ; Pharmacology. 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Methods 145 previously untreated children diagnosed with HL from 1991 to 2003 were included. Lymph node (LN) biopsies were studied and classified using World Health Organisation (WHO) classification. EBV detection was done by immunohistochemistry (IHC) and in situ hybridisation (ISH) in 145 cases and 25 age- and sex-matched controls. Patients were treated with chemotherapy alone. Results EBV was detected by IHC in 131 (90.3%) cases and by ISH in 126 (93.3%) out of 135 cases, and in none of the controls examined. With IHC and ISH combined, EBV positivity was seen in 96.6% and was significantly associated with younger age ( p = 0.012) and lower socioeconomic level ( p = 0.007). EBV status had no implication on treatment response and survival. 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Methods 145 previously untreated children diagnosed with HL from 1991 to 2003 were included. Lymph node (LN) biopsies were studied and classified using World Health Organisation (WHO) classification. EBV detection was done by immunohistochemistry (IHC) and in situ hybridisation (ISH) in 145 cases and 25 age- and sex-matched controls. Patients were treated with chemotherapy alone. Results EBV was detected by IHC in 131 (90.3%) cases and by ISH in 126 (93.3%) out of 135 cases, and in none of the controls examined. With IHC and ISH combined, EBV positivity was seen in 96.6% and was significantly associated with younger age ( p = 0.012) and lower socioeconomic level ( p = 0.007). EBV status had no implication on treatment response and survival. 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subjects Adolescent
Biological and medical sciences
Case-Control Studies
Child
Child, Preschool
Children
Epstein-Barr Virus Infections - epidemiology
Epstein-Barr Virus Infections - virology
Epstein–Barr virus
Female
Hematology, Oncology and Palliative Medicine
Herpesvirus 4, Human - isolation & purification
Hodgkin Disease - epidemiology
Hodgkin Disease - virology
Hodgkin’s lymphoma
Humans
Hybridisation in situ
Immunohistocytochemistry
India - epidemiology
Infant
Male
Medical sciences
Pharmacology. Drug treatments
Prevalence
Reed-Sternberg Cells - virology
Retrospective Studies
Socioeconomic status
Treatment outcome
Tumors
title Hodgkin’s lymphoma in Indian children: Prevalence and significance of Epstein–Barr virus detection in Hodgkin’s and Reed–Sternberg cells
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