WHO Classification of Malignant Lymphomas in Korea: Report of the Third Nationwide Study.

Jin Man Kim; Young Hyeh Ko; Seung Sook Lee; Jooryung Huh; Chang Suk Kang; Chul Woo Kim; Yun Kyung Kang; Jai Hyang Go; Min Kyung Kim; Wan Seop Kim; Yoon Jung Kim; Hyun Jung Kim; Hee Kyung Kim; Jong Hee Nam; Hyung Bae Moon; Chan Kum Park; Tae In Park; Young Ha Oh; Dong Wha Lee; Jong Sil Lee; Juhie Lee; Hyekyung Lee; Sung Chul Lim; Kyu Yun Jang; Hee Kyung Chang; Yoon Kyung Jeon; Hye Ra Jung; Min Sun Cho; Hee Jeong Cha; Suk Jin Choi; Jae Ho Han; Sook Hee Hong; Insun Kim

doi:10.4132/KoreanJPathol.2011.45.3.254

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Original Article WHO Classification of Malignant Lymphomas in Korea: Report of the Third Nationwide Study.: Jin Man Kim, Young Hyeh Ko, Seung Sook Lee, Jooryung Huh, Chang Suk Kang, Chul Woo Kim, Yun Kyung Kang, Jai Hyang Go, Min Kyung Kim, Wan Seop Kim, Yoon Jung Kim, Hyun Jung Kim, Hee Kyung Kim, Jong Hee Nam, Hyung Bae Moon, Chan Kum Park, Tae In Park, Young Ha Oh, Dong Wha Lee, Jong Sil Lee, Juhie Lee, Hyekyung Lee, Sung Chul Lim, Kyu Yun Jang, Hee Kyung Chang, Yoon Kyung Jeon, Hye Ra Jung, Min Sun Cho, Hee Jeong Cha, Suk Jin Choi, Jae Ho Han, Sook Hee Hong, Insun Kim; Journal of Pathology and Translational Medicine 2011;45(3):254-260
DOI: https://doi.org/10.4132/KoreanJPathol.2011.45.3.254

¹Department of Pathology, Chungnam National University, Korea.
²Department of Pathology, Samsung Medical Center, Korea.
³Department of Pathology, Korea Cancer Center Hospital, Korea.
⁴Department of Pathology, Asan Medical Center, Korea.
⁵Department of Pathology, Catholic University of Korea, Korea.
⁶Department of Pathology, Seoul National University, Korea.
⁷Department of Pathology, Seoul Paik Hospital, Korea.
⁸Department of Pathology, Dankook University, Korea.
⁹Department of Pathology, Kangbuk Samsung Hospital, Korea.
¹⁰Department of Pathology, Konkuk University, Korea.
¹¹Department of Pathology, Seoul Veterans Hospital, Korea.
¹²Department of Pathology, Sanggye Paik Hospital, Korea.
¹³Department of Pathology, Soonchunhyang University Bucheon Hospital, Korea.
¹⁴Department of Pathology, Chonnam National University, Korea.
¹⁵Department of Pathology, Wonkwang University, Korea.
¹⁶Department of Pathology, Hanyang University, Korea.
¹⁷Department of Pathology, Kyungpook National University, Korea.
¹⁸Department of Pathology, Hanyang University Guri Hospital, Korea.
¹⁹Department of Pathology, Soonchunhyang University, Korea.
²⁰Department of Pathology, Gyeongsang University, Korea.
²¹Department of Pathology, KyungHee University, Korea.
²²Department of Pathology, Eulji University Daejeon Hospital, Korea.
²³Department of Pathology, Chosun University, Korea.
²⁴Department of Pathology, Chonbuk National University, Korea.
²⁵Department of Pathology, Kosin University, Korea.
²⁶Department of Pathology, Keimyung University, Korea.
²⁷Department of Pathology, Ewha Womans University, Korea.
²⁸Department of Pathology, Ulsan University, Korea.
²⁹Department of Pathology, Inha University, Korea.
³⁰Department of Pathology, Ajou University, Korea.
³¹Department of Pathology, Dong-A University, Korea.
³²Department of Pathology, Korea University, Korea. iskim@korea.ac.kr

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Abstract

BACKGROUND
The aim of study was to determine the relative frequency of malignant lymphoma according to World Health Organization (WHO) classification in Korea.
METHODS
A total of 3,998 cases diagnosed at 31 institutes between 2005 and 2006 were enrolled. Information including age, gender, pathologic diagnosis, site of involvement and immunophenotypes were obtained.
RESULTS
The relative frequency of non-Hodgkin lymphoma (NHL) and Hodgkin lymphoma (HL) was 95.4% and 4.6%, respectively. B-cell lymphomas accounted for 77.6% of all NHL, while T/natural killer (T/NK)-cell lymphomas accounted for 22.4%. The most frequent subtypes of NHL were diffuse large B-cell lymphoma (42.7%), extranodal marginal zone B-cell lymphoma (MZBCL) of mucosa-associated lymphoid tissue (19.0%), NK/T-cell lymphoma (6.3%) and peripheral T-cell lymphoma (PTCL), unspecified (6.3%), in decreasing order. The relative frequency of HL was nodular sclerosis (47.4%), mixed cellularity (30.6%), and nodular lymphocyte predominant (12.1%) subtypes. Compared with a previous study in 1998, increase in gastric MZBCL and nodular sclerosis HL, and slight decrease of follicular lymphoma, PTCL, and NK/T-cell lymphoma were observed.
CONCLUSIONS
Korea had lower rates of HL and follicular lymphoma, and higher rates of extranodal NHL, extranodal MZBCL, and NK/T-cell lymphoma of nasal type compared with Western countries. Changes in the relative frequency of lymphoma subtypes are likely ascribed to refined diagnostic criteria and a change in national health care policy.

Keywords: Lymphoma;Malignant;WHO;Korea

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