High prevalence of hepatitis B and hepatitis C virus infections in Korean patients with hematopoietic malignancies

Ann Hematol. 2011 Feb;90(2):159-64. doi: 10.1007/s00277-010-1055-5. Epub 2010 Sep 7.

Abstract

We performed a large case-control study (3,932 cases, 15,562 controls) to investigate the association of hepatitis B virus (HBV) and hepatitis C virus (HCV) with hematopoietic malignancies in Korea, where HBV is endemic. HBV was present in 636 control patients (4.1%), 333 lymphoma patients (12.4%), and 75 leukemia patients (6.0%). HCV infection was present in 173 control patients (1.1%), 76 lymphoma patients (2.8%), and 18 leukemia patients (1.4%). Co-infection of HBV and HCV was present in one (0.007%) control patient, seven lymphoma patients (0.3%), and one leukemia patient (0.08%). HBV infection was associated with increased risks for most subtypes of B and T/NK-cell lymphomas, Hodgkin's lymphoma, and acute myeloid leukemia. HCV infection was associated with increased risks for diffuse large B cell lymphoma, extranodal marginal zone B cell lymphoma, peripheral T cell lymphoma, and acute lymphoid leukemia B cell early pre-B type. HBV seems to have a more important role than HCV in the pathogenesis of specific hematologic malignancies in Korea.

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies
  • Comorbidity
  • Female
  • Hematologic Neoplasms / epidemiology*
  • Hematologic Neoplasms / etiology*
  • Hematologic Neoplasms / virology*
  • Hepacivirus / pathogenicity
  • Hepatitis B / complications*
  • Hepatitis B / epidemiology*
  • Hepatitis B virus / pathogenicity
  • Hepatitis C / complications*
  • Hepatitis C / epidemiology*
  • Humans
  • Male
  • Middle Aged
  • Republic of Korea / epidemiology