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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 common preventable cause of immune deficiency is
human immunodeficiency virus (HIV) infection. Blood transfusions are
now an extremely rare source of HIV infection. HIV is spread among
adults mostly through unprotected sex and by injection drug users
sharing contaminated needles. Curbing the spread of HIV would prevent
many deaths from non-Hodgkin lymphoma. Treating HIV with anti-HIV drugs
also lowers the chance of developing non-Hodgkin lymphoma.
Preventing the spread of the human T-cell leukemia/lymphoma
virus (HTLV-1) could have a great impact on non-Hodgkin lymphoma 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.
Helicobacter
pylori infection has been linked to some lymphomas of the
stomach. Treating H.
pylori infections with antibiotics and antacids may lower
this risk, 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 lymphomas are caused by treatment of cancers with
radiation and chemotherapy or by the use of immune system-suppressing
drugs to avoid rejection of transplanted organs. Doctors are trying to
find better ways to treat cancer and organ transplant patients without
increasing the risk of lymphoma as much. But for now, the benefits of
these treatments still usually outweigh the small risk of developing
lymphoma many years later.
Last Medical Review: 07/17/2009 Last Revised: 07/17/2009
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