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Reviews

Risk factors of non-Hodgkin's lymphoma

, MD PhD, , PhD, , DSc & , PhD
Pages 539-550 | Published online: 09 Sep 2011
 

Abstract

Introduction: Despite decades of intensive research, non-Hodgkin's Lymphoma (NHL) remains poorly understood and is largely incurable. NHL is a heterogeneous group of malignancies with multiple subtypes, each of which has distinct morphologic, immunophenotypic and clinical features. Identifying the risk factors for NHL may improve our understanding of the underlying biological mechanisms and have an impact on clinical practice.

Areas covered: This article provides a review of several aspects of NHL, including epidemiology and subtype classification; clinical, environmental, genetic and genomic risk factors identified for etiology and prognosis; and available statistical and bioinformatics tools for identification of genetic and genomic risk factors from the analysis of high-throughput studies.

Expert opinion: Multiple clinical and environmental risk factors have been identified. However, they have failed to provide practical effective prediction. Genetic and genomic risk factors identified from high-throughput studies have suffered from a lack of reproducibility. The identification of genetic/genomic risk factors demands innovative statistical and bioinformatics tools. Although multiple analysis methods have been developed, there is still room for improvement. There is a critical need for well-designed, prospective, large-scale pangenomic studies.

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