Diagnosed hematological malignancies in Bangladesh - A retrospective analysis of over 5000 cases from 10 specialized hospitals

Mohammad S. Hossain, Mohd S. Iqbal, Mohiuddin A. Khan, Mohammad G. Rabbani, Hazera Khatun, Sirajam Munira, M. Morshed Z Miah, Amin L. Kabir, Naima Islam, Tashmim F. Dipta, Farzana Rahman, Abdul Mottalib, Salma Afrose, Tasneem Ara, Akhil R. Biswas, Mizanur Rahman, Akm K M M Abedin, Mahbubur Rahman, Abm B M Yunus, Louis NiessenTanvira A. Sultana

Research output: Contribution to journalArticle

Abstract

Background: The global burden from cancer is rising, especially as low-income countries like Bangladesh observe rapid aging. So far, there are no comprehensive descriptions reporting diagnosed cancer group that include hematological malignancies in Bangladesh.Methods: This was a multi-center hospital-based retrospective descriptive study of over 5000 confirmed hematological cancer cases in between January 2008 to December 2012. Morphological typing was carried out using the " French American British" classification system.Results: A total of 5013 patients aged between 2 to 90 years had been diagnosed with malignant hematological disorders. A 69.2% were males (n = 3468) and 30.8% females (n = 1545), with a male to female ratio of 2.2:1. The overall median age at diagnosis was 42 years. Acute myeloid leukemia was most frequent (28.3%) with a median age of 35 years, followed by chronic myeloid leukemia with 18.2% (median age 40 years), non-Hodgkin lymphoma (16.9%; median age 48 years), acute lymphoblastic leukemia (14.1%; median age 27 years), multiple myeloma (10.5%; median age 55 years), myelodysplastic syndromes (4.5%; median age 57 years) and Hodgkin's lymphoma (3.9%; median age 36 years). The least common was chronic lymphocytic leukemia (3.7%; median age 60 years). Below the age of 20 years, acute lymphoblastic leukemia was predominant (37.3%), followed by acute myeloid leukemia (34%). Chronic lymphocytic leukemia and multiple myeloma had mostly occurred among older patients, aged 50-over.Conclusions: For the first time, our study presents the pattern and distribution of diagnosed hematological cancers in Bangladesh. It shows differences in population distributions as compared to other settings with possibly a lower presence of non-Hodgkin lymphoma. There might be under-reporting of affected women. Further studies are necessary on the epidemiology, genetics and potential environmental risk factors within this rapidly aging country.

Original languageEnglish (US)
Article number438
JournalBMC Cancer
Volume14
Issue number1
DOIs
StatePublished - Jun 14 2014
Externally publishedYes

Fingerprint

Bangladesh
Hematologic Neoplasms
B-Cell Chronic Lymphocytic Leukemia
Multiple Myeloma
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Acute Myeloid Leukemia
Non-Hodgkin's Lymphoma
Neoplasms
Molecular Epidemiology
Myelodysplastic Syndromes
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Hodgkin Disease
Retrospective Studies
Demography

Keywords

  • ALL
  • AML
  • Bangladesh
  • CML
  • Hematological malignancy
  • HL
  • MDS
  • MM
  • NHL

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Genetics
  • Medicine(all)

Cite this

Hossain, M. S., Iqbal, M. S., Khan, M. A., Rabbani, M. G., Khatun, H., Munira, S., ... Sultana, T. A. (2014). Diagnosed hematological malignancies in Bangladesh - A retrospective analysis of over 5000 cases from 10 specialized hospitals. BMC Cancer, 14(1), [438]. https://doi.org/10.1186/1471-2407-14-438

Diagnosed hematological malignancies in Bangladesh - A retrospective analysis of over 5000 cases from 10 specialized hospitals. / Hossain, Mohammad S.; Iqbal, Mohd S.; Khan, Mohiuddin A.; Rabbani, Mohammad G.; Khatun, Hazera; Munira, Sirajam; Miah, M. Morshed Z; Kabir, Amin L.; Islam, Naima; Dipta, Tashmim F.; Rahman, Farzana; Mottalib, Abdul; Afrose, Salma; Ara, Tasneem; Biswas, Akhil R.; Rahman, Mizanur; Abedin, Akm K M M; Rahman, Mahbubur; Yunus, Abm B M; Niessen, Louis; Sultana, Tanvira A.

In: BMC Cancer, Vol. 14, No. 1, 438, 14.06.2014.

Research output: Contribution to journalArticle

Hossain, MS, Iqbal, MS, Khan, MA, Rabbani, MG, Khatun, H, Munira, S, Miah, MMZ, Kabir, AL, Islam, N, Dipta, TF, Rahman, F, Mottalib, A, Afrose, S, Ara, T, Biswas, AR, Rahman, M, Abedin, AKMM, Rahman, M, Yunus, ABM, Niessen, L & Sultana, TA 2014, 'Diagnosed hematological malignancies in Bangladesh - A retrospective analysis of over 5000 cases from 10 specialized hospitals', BMC Cancer, vol. 14, no. 1, 438. https://doi.org/10.1186/1471-2407-14-438
Hossain, Mohammad S. ; Iqbal, Mohd S. ; Khan, Mohiuddin A. ; Rabbani, Mohammad G. ; Khatun, Hazera ; Munira, Sirajam ; Miah, M. Morshed Z ; Kabir, Amin L. ; Islam, Naima ; Dipta, Tashmim F. ; Rahman, Farzana ; Mottalib, Abdul ; Afrose, Salma ; Ara, Tasneem ; Biswas, Akhil R. ; Rahman, Mizanur ; Abedin, Akm K M M ; Rahman, Mahbubur ; Yunus, Abm B M ; Niessen, Louis ; Sultana, Tanvira A. / Diagnosed hematological malignancies in Bangladesh - A retrospective analysis of over 5000 cases from 10 specialized hospitals. In: BMC Cancer. 2014 ; Vol. 14, No. 1.
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abstract = "Background: The global burden from cancer is rising, especially as low-income countries like Bangladesh observe rapid aging. So far, there are no comprehensive descriptions reporting diagnosed cancer group that include hematological malignancies in Bangladesh.Methods: This was a multi-center hospital-based retrospective descriptive study of over 5000 confirmed hematological cancer cases in between January 2008 to December 2012. Morphological typing was carried out using the {"} French American British{"} classification system.Results: A total of 5013 patients aged between 2 to 90 years had been diagnosed with malignant hematological disorders. A 69.2{\%} were males (n = 3468) and 30.8{\%} females (n = 1545), with a male to female ratio of 2.2:1. The overall median age at diagnosis was 42 years. Acute myeloid leukemia was most frequent (28.3{\%}) with a median age of 35 years, followed by chronic myeloid leukemia with 18.2{\%} (median age 40 years), non-Hodgkin lymphoma (16.9{\%}; median age 48 years), acute lymphoblastic leukemia (14.1{\%}; median age 27 years), multiple myeloma (10.5{\%}; median age 55 years), myelodysplastic syndromes (4.5{\%}; median age 57 years) and Hodgkin's lymphoma (3.9{\%}; median age 36 years). The least common was chronic lymphocytic leukemia (3.7{\%}; median age 60 years). Below the age of 20 years, acute lymphoblastic leukemia was predominant (37.3{\%}), followed by acute myeloid leukemia (34{\%}). Chronic lymphocytic leukemia and multiple myeloma had mostly occurred among older patients, aged 50-over.Conclusions: For the first time, our study presents the pattern and distribution of diagnosed hematological cancers in Bangladesh. It shows differences in population distributions as compared to other settings with possibly a lower presence of non-Hodgkin lymphoma. There might be under-reporting of affected women. Further studies are necessary on the epidemiology, genetics and potential environmental risk factors within this rapidly aging country.",
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T1 - Diagnosed hematological malignancies in Bangladesh - A retrospective analysis of over 5000 cases from 10 specialized hospitals

AU - Hossain, Mohammad S.

AU - Iqbal, Mohd S.

AU - Khan, Mohiuddin A.

AU - Rabbani, Mohammad G.

AU - Khatun, Hazera

AU - Munira, Sirajam

AU - Miah, M. Morshed Z

AU - Kabir, Amin L.

AU - Islam, Naima

AU - Dipta, Tashmim F.

AU - Rahman, Farzana

AU - Mottalib, Abdul

AU - Afrose, Salma

AU - Ara, Tasneem

AU - Biswas, Akhil R.

AU - Rahman, Mizanur

AU - Abedin, Akm K M M

AU - Rahman, Mahbubur

AU - Yunus, Abm B M

AU - Niessen, Louis

AU - Sultana, Tanvira A.

PY - 2014/6/14

Y1 - 2014/6/14

N2 - Background: The global burden from cancer is rising, especially as low-income countries like Bangladesh observe rapid aging. So far, there are no comprehensive descriptions reporting diagnosed cancer group that include hematological malignancies in Bangladesh.Methods: This was a multi-center hospital-based retrospective descriptive study of over 5000 confirmed hematological cancer cases in between January 2008 to December 2012. Morphological typing was carried out using the " French American British" classification system.Results: A total of 5013 patients aged between 2 to 90 years had been diagnosed with malignant hematological disorders. A 69.2% were males (n = 3468) and 30.8% females (n = 1545), with a male to female ratio of 2.2:1. The overall median age at diagnosis was 42 years. Acute myeloid leukemia was most frequent (28.3%) with a median age of 35 years, followed by chronic myeloid leukemia with 18.2% (median age 40 years), non-Hodgkin lymphoma (16.9%; median age 48 years), acute lymphoblastic leukemia (14.1%; median age 27 years), multiple myeloma (10.5%; median age 55 years), myelodysplastic syndromes (4.5%; median age 57 years) and Hodgkin's lymphoma (3.9%; median age 36 years). The least common was chronic lymphocytic leukemia (3.7%; median age 60 years). Below the age of 20 years, acute lymphoblastic leukemia was predominant (37.3%), followed by acute myeloid leukemia (34%). Chronic lymphocytic leukemia and multiple myeloma had mostly occurred among older patients, aged 50-over.Conclusions: For the first time, our study presents the pattern and distribution of diagnosed hematological cancers in Bangladesh. It shows differences in population distributions as compared to other settings with possibly a lower presence of non-Hodgkin lymphoma. There might be under-reporting of affected women. Further studies are necessary on the epidemiology, genetics and potential environmental risk factors within this rapidly aging country.

AB - Background: The global burden from cancer is rising, especially as low-income countries like Bangladesh observe rapid aging. So far, there are no comprehensive descriptions reporting diagnosed cancer group that include hematological malignancies in Bangladesh.Methods: This was a multi-center hospital-based retrospective descriptive study of over 5000 confirmed hematological cancer cases in between January 2008 to December 2012. Morphological typing was carried out using the " French American British" classification system.Results: A total of 5013 patients aged between 2 to 90 years had been diagnosed with malignant hematological disorders. A 69.2% were males (n = 3468) and 30.8% females (n = 1545), with a male to female ratio of 2.2:1. The overall median age at diagnosis was 42 years. Acute myeloid leukemia was most frequent (28.3%) with a median age of 35 years, followed by chronic myeloid leukemia with 18.2% (median age 40 years), non-Hodgkin lymphoma (16.9%; median age 48 years), acute lymphoblastic leukemia (14.1%; median age 27 years), multiple myeloma (10.5%; median age 55 years), myelodysplastic syndromes (4.5%; median age 57 years) and Hodgkin's lymphoma (3.9%; median age 36 years). The least common was chronic lymphocytic leukemia (3.7%; median age 60 years). Below the age of 20 years, acute lymphoblastic leukemia was predominant (37.3%), followed by acute myeloid leukemia (34%). Chronic lymphocytic leukemia and multiple myeloma had mostly occurred among older patients, aged 50-over.Conclusions: For the first time, our study presents the pattern and distribution of diagnosed hematological cancers in Bangladesh. It shows differences in population distributions as compared to other settings with possibly a lower presence of non-Hodgkin lymphoma. There might be under-reporting of affected women. Further studies are necessary on the epidemiology, genetics and potential environmental risk factors within this rapidly aging country.

KW - ALL

KW - AML

KW - Bangladesh

KW - CML

KW - Hematological malignancy

KW - HL

KW - MDS

KW - MM

KW - NHL

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