ADULT LYMPHOMA IN THE PROVINCE OF SULAIMANI: DEMOGRAPHY, HISTOLOGY AND TREATMENT PLANS

Bamo Mohammed Muhsin a and Anwar Sheikha b



a Zhianawa Cancer Center, Kurdistan Board Candidate. 
b Hiwa Teaching Hospital.


Submitted: 15/7/2018; Accepted: 21/11/2018; Published 21/12/2018
ABSTRACT


Background 

Lymphomas are the third commonest adult malignancies in Iraqi Kurdistan. Geographic variation in the distribution of different histologic types of lymphoma is well known. Management has been a contest between radiation and medical oncologists.


Objectives 

The aim of the study is to give an account about demographic and histologic distribution of adult lymphomas and to find out the proportion of the lymphoma treated with radiation in Kurdistan compared to the western world.


Patients and Methods

Data were collected for all patients with adult lymphomas from the two main cancer centers in the city of Sulaimani from 2013 to 2017. Six hundred forty five patients could be retrieved. Data included were age, sex, histology, and management plans. Descriptive analysis using frequencies was used to describe the study variables.


Results

A total of 645 adult lymphomas were enrolled. One third of patients had Hodgkin lymphoma, whose 138 cases were male (63%). Nodular Sclerosis histology comprised 70% of all Hodgkin lymphoma cases. Treatment plan for Hodgkin lymphoma was either chemotherapy (83%) or combined modality treatment. The commonest histologic type of Non-Hodgkin lymphoma (NHL) was diffuse large B-Cell lymphoma and it accounted for 62% of cases. Follicular lymphoma was extremely rare and encountered for only 2% of all cases. Unlike Hodgkin Lymphoma, only 8% of Non-Hodgkin Lymphoma patients were treated by combined modality approach.


Conclusion

Age distribution and histologic pattern of lymphomas are different in our region compared with other regional and western countries. Unlike the developed western world follicular lymphoma is not a common type of NHL. Although combined modality approach was a standard therapy for quite a while now most of the lymphoma cases are treated by chemotherapy alone.


KEYWORDS

Demography, Histology, Sulaimani, Treatment, Adult lymphoma.