Proposed classification of lymphoid neoplasms for epidemiologic research from the Pathology Working Group of the International Lymphoma Epidemiology Consortium (InterLymph)

Morton, Lindsay M.; Turner, Jennifer J.; Cerhan, James R.; Linet, Martha S.; Treseler, Patrick A.; Clarke, Christina A.; Jack, Andrew; Cozen, Wendy; Maynadié, Marc; Spinelli, John J.; Costantini, Adele Seniori; Rüdiger, Thomas; Scarpa, Aldo; Zheng, Tongzhang; Weisenburger, Dennis D.

doi:10.1182/blood-2006-11-051672

Cited by 392Lymphoma Diagnosis and TreatmentViral-associated cancers and disordersChronic Lymphocytic Leukemia Research

Proposed classification of lymphoid neoplasms for epidemiologic research from the Pathology Working Group of the International Lymphoma Epidemiology Consortium (InterLymph)

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Morton, Lindsay M., Turner, Jennifer J., Cerhan, James R., Linet, Martha S., Treseler, Patrick A., Clarke, Christina A., Jack, Andrew, Cozen, Wendy +7 more·2007·Blood

DOI 10.1182/blood-2006-11-051672PMC PMC1924473

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Abstract

Recent evidence suggests that there is etiologic heterogeneity among the various subtypes of lymphoid neoplasms. However, epidemiologic analyses by disease subtype have proven challenging due to the numerous clinical and pathologic schemes used to classify lymphomas and lymphoid leukemias over the last several decades. On behalf of the International Lymphoma Epidemiology Consortium (InterLymph) Pathology Working Group, we present a proposed nested classification of lymphoid neoplasms to facilitate the analysis of lymphoid neoplasm subtypes in epidemiologic research. The proposed classification is based on the World Health Organization classification of lymphoid neoplasms and the International Classification of Diseases–Oncology, Third Edition (ICD-O-3). We also provide a translation into the proposed classification from previous classifications, including the Working Formulation, Revised European-American Lymphoma (REAL) classification, and ICD-O-2. We recommend that epidemiologic studies include analyses by lymphoma subtype to the most detailed extent allowable by sample size. The standardization of groupings for epidemiologic research of lymphoma subtypes is essential for comparing subtype-specific reports in the literature, harmonizing cases within a single study diagnosed using different systems, as well as combining data from multiple studies for the purpose of pooled analysis or meta-analysis, and will probably prove to be critical for elucidating etiologies of the various lymphoid neoplasms.

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North American registries use SEER multiple-primary rules, which count more cancers as new primaries than the IACR rules used in most other continents.
“North American registries define multiple primary cancers under the rules of the Surveillance Epidemiology and End Results (SEER) programme.22 Those rules accept more cancers as new primary cancers than the rules of the International Association of Cancer Registries (IACR),23 which are used by most cancer registries in other continents.”
From Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries (2018) · cites this paper as [22]

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Epidemiology
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Authors: Morton, L. M., Turner, J. J., Cerhan, J. R., Linet, M. S., Treseler, P. A., Clarke, C. A., Jack, A., Cozen, W., Maynadié, M., Spinelli, J. J., Costantini, A. S., Rüdiger, T., Scarpa, A., Zheng, T., & Weisenburger, D. D.
Affiliations: National Institutes of Health (US)
St Vincent's Hospital Sydney (AU)
Mayo Clinic (US)
University of California, San Francisco (US)
Cancer Prevention Institute of California (US)
National Health Service (GB)
University of Southern California (US)
CHU Dijon Bourgogne (FR)
BC Cancer Agency (CA)
Occupational and Environmental Epidemiology Unit, Center for Study and Prevention of Cancer, Scientific Institute of Tuscany, Florence, Italy;
University of Würzburg (DE)
University of Verona (IT)
Yale University (US)
University of Nebraska Medical Center (US)
ORCID: Morton, Lindsay M.
Turner, Jennifer J.
Cerhan, James R.
Linet, Martha S.
Clarke, Christina A.
Jack, Andrew
Cozen, Wendy
Maynadié, Marc
Costantini, Adele Seniori
Rüdiger, Thomas
Scarpa, Aldo
Weisenburger, Dennis D.
Venue: Blood
Publisher: American Society of Hematology
Published: 2007-07-15
Volume: 110
Issue: 2
Pages: 695-708
ISSN: 0006-4971 (ISSN-L)
1528-0020
DOI: 10.1182/blood-2006-11-051672
PMC: PMC1924473
OpenAlex: W2061918976
Cited by: 387
References: 58
Citations by year: 2026: 4 · 2025: 6 · 2024: 8 · 2023: 17 · 2022: 14 · 2021: 16 · 2020: 14 · 2019: 14 · 2018: 14 · 2017: 15 · 2016: 23 · 2015: 30 · 2014: 45 · 2013: 28 · 2012: 34
FWCI: 20.35
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Blood (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
National Cancer Institute (P50CA97274, R01CA092153, R01CA062006, N01-CN-35136, CA 62006-05, R01CA92153, P50CA097274)
Topics: Health Sciences › Medicine › Pathology and Forensic Medicine › Lymphoma Diagnosis and Treatment
Health Sciences › Medicine › Oncology › Viral-associated cancers and disorders
Health Sciences › Medicine › Genetics › Chronic Lymphocytic Leukemia Research
Keywords: lymphoid malignancies, lymphoma subtypes, classification standardization, lymphoid leukemia, ICD-O-3, WHO classification of lymphoid neoplasms, REAL classification, Working Formulation, lymphoma etiology
MeSH terms: Europe, Hodgkin Disease, Humans, Lymphoma, Lymphoma, Non-Hodgkin, North America, Reproducibility of Results

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Proposed classification of lymphoid neoplasms for epidemiologic research from the Pathology Working Group of the International Lymphoma Epidemiology Consortium (InterLymph)

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