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dc.contributor.authorKristinsson, Sigurdur Yngvi
dc.contributor.authorVidarsson, Brynjar
dc.contributor.authorAgnarsson, Bjarni A
dc.contributor.authorHaraldsdottir, Vilhelmina
dc.contributor.authorOlafsson, Orn
dc.contributor.authorJohannesson, Gudmundur M
dc.contributor.authorEyjolfsson, Gudmundur I
dc.contributor.authorBjornsdottir, Johanna
dc.contributor.authorOnundarson, Pall T
dc.contributor.authorReykdal, Sigrun
dc.date.accessioned2008-06-25T15:09:06Z
dc.date.available2008-06-25T15:09:06Z
dc.date.issued2002
dc.date.submitted2008-06-25
dc.identifier.citationHematol. J. 2002, 3 (3):145-7en
dc.identifier.issn1466-4860
dc.identifier.pmid12111650
dc.identifier.doi10.1038/sj.thj.6200167
dc.identifier.urihttp://hdl.handle.net/2336/30465
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractINTRODUCTION: Hairy cell leukemia (HCL) is a rare B-cell lymphoproliferative disorder. Previous epidemiological studies have mainly focused on cases derived from single institutions or from localized cancer registries. This is the first study in which all cases diagnosed nationwide over a long period of time in a well defined population are analysed. We report the epidemiology of all HCL patients in Iceland, their clinical characteristics, treatment and follow-up. PATIENTS AND METHODS:: All patients diagnosed with HCL in Iceland over a 20 year period, were included in this study. Data was collected retrospectively. RESULTS: Sixteen patients, 13 males and three females were diagnosed with HCL in Iceland from 1981-2000, giving a mean incidence of 4.7/million/year (95% CI: 2.7-7.6) in the population 20 years and older. Eleven patients were treated with a purine analogue, 10 of whom achieved CR. One other patient obtained CR following splenectomy and IFN, giving a total CR rate of 69%. Three other patients (19%) obtained PR, giving a total response rate of 88%. One patient had a variant of HCL and did not respond to any therapy and one patient died of sepsis before any chemotherapy could be given. Six patients with HCL have died, one from complications of HCL. Three patients developed a second malignancy (19%). CONCLUSIONS: The mean incidence of HCL in Iceland is 4.7/million/year. This is slighty higher than the reported incidence in England and Wales, although not significantly higher. The incidence is based on a nationwide information from a well defined stable and racially homogenous island population. Other results are in accordance with previously published studies.
dc.language.isoenen
dc.publisherNature Publishing Groupen
dc.relation.urlhttp://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=8717047&site=ehost-liveen
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshFemaleen
dc.subject.meshFollow-Up Studiesen
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshIncidenceen
dc.subject.meshLeukemia, Hairy Cellen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshNeoplasms, Second Primaryen
dc.subject.meshRemission Inductionen
dc.subject.meshRetrospective Studiesen
dc.titleEpidemiology of hairy cell leukemia in Icelanden
dc.typeArticleen
dc.contributor.departmentDepartment of Hematology, Landspitali University Hospital, Reykjavik, Iceland. sigrunre@landspitali.isen
dc.identifier.journalHematology journal : the official journal of the European Haematology Association / EHAen
html.description.abstractINTRODUCTION: Hairy cell leukemia (HCL) is a rare B-cell lymphoproliferative disorder. Previous epidemiological studies have mainly focused on cases derived from single institutions or from localized cancer registries. This is the first study in which all cases diagnosed nationwide over a long period of time in a well defined population are analysed. We report the epidemiology of all HCL patients in Iceland, their clinical characteristics, treatment and follow-up. PATIENTS AND METHODS:: All patients diagnosed with HCL in Iceland over a 20 year period, were included in this study. Data was collected retrospectively. RESULTS: Sixteen patients, 13 males and three females were diagnosed with HCL in Iceland from 1981-2000, giving a mean incidence of 4.7/million/year (95% CI: 2.7-7.6) in the population 20 years and older. Eleven patients were treated with a purine analogue, 10 of whom achieved CR. One other patient obtained CR following splenectomy and IFN, giving a total CR rate of 69%. Three other patients (19%) obtained PR, giving a total response rate of 88%. One patient had a variant of HCL and did not respond to any therapy and one patient died of sepsis before any chemotherapy could be given. Six patients with HCL have died, one from complications of HCL. Three patients developed a second malignancy (19%). CONCLUSIONS: The mean incidence of HCL in Iceland is 4.7/million/year. This is slighty higher than the reported incidence in England and Wales, although not significantly higher. The incidence is based on a nationwide information from a well defined stable and racially homogenous island population. Other results are in accordance with previously published studies.


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