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Proposed classification of lymphoid neoplasms for epidemiologic research from the Pathology Working Group of the International Lymphoma Epidemiology Consortium (InterLymph)
Open accessAbstract
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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“‡Includes patients with chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), prolymphocytic leukemia (PLL), and mantle cell lymphoma (MCL) (25).”
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Metadata
- 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
- 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
- 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 › Hematology › 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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