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Hodgkin's Disease


Non-Hodgkin’s Disease vs. Hodgkin’s Disease

Physician developed and monitored.

Original Date of Publication: 15 Aug 1999
Reviewed by: Stanley J. Swierzewski, III, M.D.

Original Source: http://www.oncologychannel.com/hodgkins/facts.shtml

Home » Hodgkin's Disease » Non-Hodgkin’s Disease vs. Hodgkin’s Disease


Non-Hodgkin's Disease vs. Hodgkin's Disease

Lymphomas are divided into two general categories: Hodgkin's disease (HD; also called Hodgkin's lymphoma), and non-Hodgkin's lymphoma (NHL). In the United States, there has been a general decline in HD rates over the past 20 years, so that this disease now accounts for only 1% of all cancers. By contrast, non-Hodgkin's lymphoma has increased by more than 70% during this period and now represents 4% of all cancers in the United States. It is the fifth most common malignancy in this country.



In 1999, over 56,800 new cases of NHL—32,600 men and 24,200 women—were diagnosed in the United States; and about 25,700 people (13,400 men, 12,300 women) died from this disease.

The majority of NHLs (95%) occur in adults 40 to 70 years of age; however, some NHL subtypes are among the most common cancers in children. More men than women develop NHLs, and rates are particularly high among men who live in locations of epidemic human immunodeficiency virus (HIV), such as the San Francisco/Oakland area. Non-Hodgkin's lymphoma is more common in Caucasians than in African Americans, Japanese Americans, or Chinese Americans.

Throughout the coming year, an estimated 10,000 new cases of HD will be diagnosed. Among these cases, 60% of individuals will have unfavorable features or advanced stage disease, whereas the remaining 40% will have early stage disease. Men typically have higher HD rates than women. This difference is particularly noticeable in children and among people older than 35 years of age. HD is more common in Caucasians than in African Americans or Asians. HD affects both adults and children, although it is most common in two age groups: young adults (age 15 - 40) and older adults (age 55+). This age spread is more apparent in women, and may be related to hormonal factors. Only about 10% to15% of HD cases occur in children who are younger than 16 years of age. The disease is uncommon in children age 5 and under.

Table 1: Facts & Figures For HD versus NHL, 1987- 1991

Hodgkin's Disease Non-Hodgkin's Lymphoma
Number of cases 3,540 17,568
Age-adjusted incidence* in 1991 2.9 cases per100,000 person-years 15.1 cases per100,000 person-years
Age at diagnosis (median) 33 years 65 years
Disease distribution by age:

< 20 yrs
20-34 yrs
35-44 yrs
45-54 yrs
55-64 yrs
65-74 yrs
75-84 yrs
> 84 yrs

 
12.7 %
40.3 %
16.1 %
8.2 %
7.4 %
8.3 %
5.4 %
1.5 %

 
1.8 %
7.1 %
10.4 %
11.7 %
17.9 %
25.7 %
19.4 %
6.0 %



*Based upon findings from the National Cancer Institute's SEER (Surveillance, Epidemiology, and End Results) program, 1987 to 1991.

*Number of new cases occurring within a population of 100,000 individuals (corrected for age) (Adapted from: Canellos G. P., Lister T. A., and Sklar J. L.: The Lymphomas. Philadelphia: W. B. Saunders Company, 1998).



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