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Blood, 15 August 2006, Vol. 108, No. 4, pp. 1363-1369.
Prepublished online as a Blood First Edition Paper on April 18, 2006; DOI 10.1182/blood-2005-12-008755.
Previous Article | Next Article 
Submitted December 14, 2005
Accepted April 11, 2006
Agricultural pesticide use and risk of t(14;18)-defined
subtypes of non-Hodgkin lymphoma
Brian C.-H. Chiu*, Bhavana J Dave, Aaron Blair, Susan M Gapstur, Shelia Hoar Zahm, and Dennis D Weisenburger
Department of Preventive Medicine, Northwestern University Medical School, Chicago, IL
University of Nebraska Medical Center, Omaha, NE
Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, DHHS, Bethesda, MD,USA
Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE
* Corresponding author; email: bchiu{at}northwestern.edu.
Pesticides have been specifically associated with the t
(14;18)(q32;q21) chromosomal translocation. To
investigate whether the association between pesticides
and risk of non-Hodgkin lymphoma (NHL) differs for
molecular subtypes of NHL defined by t(14;18) status, we
obtained 175 tumor blocks from cases in a population-
based case-control study conducted in Nebraska between
1983-1986. The t(14;18) was determined by interphase
fluorescence in situ hybridization in 172 of 175 tumor
blocks. We compared exposures to insecticides,
herbicides, fungicides, and fumigants in 65 t(14;18)-
positive and 107 t(14;18)-negative cases with those
among 1,243 controls. Multivariate polytomous logistic
regression was used to calculate odds ratios (ORs) and
95% confidence intervals (CIs). Compared with farmers
who never used pesticides, the risk of t(14;18)-positive
NHL was significantly elevated among farmers who used
animal insecticides (OR=2.6; 1.0-6.9), crop insecticides
(OR=3.0; 1.1-8.2), herbicides (OR=2.9; 1.1-7.9), and
fumigants (OR=5.0; 1.7-14.5). None of these pesticides
were associated with t(14;18)-negative NHL. The risk of t
(14;18)-positive NHL associated with insecticides and
herbicides increased with longer duration of use. We
conclude that insecticides, herbicides, and fumigants
were associated with risk of t(14;18)-positive NHL, but
not t(14;18)-negative NHL. These results suggest that
defining subsets of NHL according to t(14;18) status is
a useful approach for etiologic research.

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