1.Contribution of HBV and HCV infection in mortality of B cell non-Hodgkin’s lymphoma subjects
Myagmarjav B ; Anir E ; Delgerbat B ; Khishigjargal B ; Myadagsuren S ; Erdenetsogt D ; Dahgwahdorj Ya ; Davaadorj D ; Naranjargal D
Mongolian Medical Sciences 2020;191(1):19-25
Background:
The correlation between hepatitis B, C viruses (HBV, HCV) and B cell non-Hodgkin’s Lymphoma
(B-NHL) and reducing mortality have been studied extensively worldwide
Objective:
In this study, we aimed to determine the prevalence of HBsAg and anti-HCV positive cases among
B-NHL patients and its influence on the survival rate of these patients (on ≤12 months).
Materials and Methods:
We have done a retrospective analysis on patients who aged over 20 years and newly diagnosed at
the Hematology Center of the First State Hospital between 2015-2018. The patients’ information was
collected according the study ethics. We divided the patients into 2 groups, survival rate less than
12 months (≤12 months) and survival rate more than 13 months (≥13 months), and compared them
regarding age, gender, seroprevalence, and Ann-Arbor stage.
Results:
Overall, 226 patients (107 males and 119 females with average 54.4) were enrolled in the study.
There were 15% HBsAg positive and 41,6% anti-HCV positive cases, while Baatarkhuu et al. (2005)
reported (11.8%, 15.6%; p=0.160, p<0.00001) and Bekhbold et al. (2013) reported (11.1%, 10.6%;
p=0.055, p<0.00001) in apparently healthy population. Moreover, anti-HCV positive cases among
B-NHL patients were higher (p<0.00001) than those (27%) among hepatocellular carcinoma (HCC)
patients and same (p=0.404) with those (39%) among liver cirrhosis patients in Mongolia (Bolormaa
et al., 2009). Furthermore, 72.0% of all subjects in III-IV stages was accounted for HBsAg, anti-HCV
positive group which had ≤12 months, while 52.1% of them was accounted for HBsAg, anti-HCV
positive group which had ≥13 months and was statistical significantly lower (p=0.02).
Conclusion
Anti-HCV and HBsAg positive cases might contribute to survival rate with the B-NHL patients
diagnosed at the III-IV stages. HCV prevalence among B-NHL subjects was significantly higher than
that among the general population prevalence and was same with anti-HCV positive prevalence
among the HCC.