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Rationale and Design of the International Lymphoma Epidemiology Consortium (InterLymph) Non-Hodgkin Lymphoma Subtypes Project.
[waldenström macroglobulinemia]
Non-
Hodgkin
lymphoma
(
NHL
)
,
the
most
common
hematologic
malignancy
,
consists
of
numerous
subtypes
.
The
etiology
of
NHL
is
incompletely
understood
,
and
increasing
evidence
suggests
that
risk
factors
may
vary
by
NHL
subtype
.
However
,
small
numbers
of
cases
have
made
investigation
of
subtype-
specific
risks
challenging
.
The
International
Lymphoma
Epidemiology
Consortium
therefore
undertook
the
NHL
Subtypes
Project
,
an
international
collaborative
effort
to
investigate
the
etiologies
of
NHL
subtypes
.
This
article
describes
in
detail
the
project
rationale
and
design
.
We
pooled
individual-level
data
from
20
case-control
studies
(
17471
NHL
cases
,
23096
controls
)
from
North
America
,
Europe
,
and
Australia
.
Centralized
data
harmonization
and
analysis
ensured
standardized
definitions
and
approaches
,
with
rigorous
quality
control
.
The
pooled
study
population
included
11
specified
NHL
subtypes
with
more
than
100
cases
:
diffuse
large
B-
cell
lymphoma
(
N
=
4667
)
,
follicular
lymphoma
(
N
=
3530
)
,
chronic
lymphocytic
leukemia
/
small
lymphocytic
lymphoma
(
N
=
2440
)
,
marginal
zone
lymphoma
(
N
=
1052
)
,
peripheral
T-
cell
lymphoma
(
N
=
584
)
,
mantle
cell
lymphoma
(
N
=
557
)
,
lymphoplasmacytic
lymphoma
/
Waldenström
macroglobulinemia
(
N
=
374
)
,
mycosis
fungoides
/
Sézary
syndrome
(
N
=
324
)
,
Burkitt
/
Burkitt-like
lymphoma
/
leukemia
(
N
=
295
)
,
hairy
cell
leukemia
(
N
=
154
)
,
and
acute
lymphoblastic
leukemia
/
lymphoma
(
N
=
152
)
.
Associations
with
medical
history
,
family
history
,
lifestyle
factors
,
and
occupation
for
each
of
these
11
subtypes
are
presented
in
separate
articles
in
this
issue
,
with
a
final
article
quantitatively
comparing
risk
factor
patterns
among
subtypes
.
The
International
Lymphoma
Epidemiology
Consortium
NHL
Subtypes
Project
provides
the
largest
and
most
comprehensive
investigation
of
potential
risk
factors
for
a
broad
range
of
common
and
rare
NHL
subtypes
to
date
.
The
analyses
contribute
to
our
understanding
of
the
multifactorial
nature
of
NHL
subtype
etiologies
,
motivate
hypothesis-driven
prospective
investigations
,
provide
clues
for
prevention
,
and
exemplify
the
benefits
of
international
consortial
collaboration
in
cancer
epidemiology
.
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symptom
waldenström macroglobulinemia
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