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Most people with non-Hodgkin lymphoma have no known risk factors, so
there was no way to prevent their lymphomas from developing. For now,
the best way to reduce the risk for non-Hodgkin lymphoma is to try to
prevent known risk factors such as immune deficiency.
The most preventable cause of immune deficiency is human
immunodeficiency virus (HIV) infection. Medical advances have nearly
eliminated contaminated blood as a source of HIV infections. HIV is
spread among adults mostly through unprotected sex and among injection
drug users through sharing contaminated needles. Preventing the spread
of HIV would prevent many deaths from non-Hodgkin lymphoma. Treating
HIV with anti-HIV drugs also seems to lower the chance of developing
non-Hodgkin lymphoma significantly.
Preventing the spread of the human T-cell leukemia/lymphoma
virus (HTLV-1) could have a great impact on non-Hodgkin lymphoma
prevention in areas of the world where this virus is common, such as
Japan and the Caribbean region. The virus is rare in the United States
but seems to be increasing in some areas. The same strategies used to
prevent HIV spread could also help control HTLV-1.
The recent discovery of the link between Helicobacter pylori
infection and some lymphomas of the stomach offers a potential
opportunity for prevention, but the benefit of this strategy has not
been proven yet. Most people with H.
pylori infection have no symptoms, and some have only mild
heartburn. Finding the best way to detect and treat this infection in
people without symptoms will require more research.
Some non-Hodgkin lymphomas are caused by treatment of cancers
with radiation and chemotherapy or the use of immune system-suppressing
drugs to avoid rejection of transplanted organs. Doctors are trying to
find ways to treat cancer and organ transplant patients in ways that do
not increase the risk of lymphoma as much. But for now, the
life-threatening nature of the diseases requiring these treatments
still usually outweighs the small risk of developing non-Hodgkin
lymphoma many years later.
Revised: 08/29/2007
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