Non-Hodgkin's lymphoma (NHL) is a type of cancer that affects the lymphatic system, which is a part of the body's immune system. It occurs when certain white blood cells called lymphocytes, which are responsible for fighting infections, grow and multiply uncontrollably.
The exact cause of NHL is not fully understood, but there are several factors that have been identified as potential contributors to its development:
- Genetic Factors: Certain genetic mutations or abnormalities can increase the risk of developing NHL. These genetic changes can be inherited or acquired during a person's lifetime. For example, individuals with a family history of NHL or other types of cancer may have a higher risk.
- Immunodeficiency: People with weakened immune systems are more susceptible to NHL. This includes individuals with HIV/AIDS, those who have undergone organ transplantation and are taking immunosuppressive drugs, or individuals born with certain immune system disorders.
- Age: NHL can occur at any age, but the risk increases with age. It is more commonly diagnosed in older adults, with the average age of diagnosis being around 60 years.
- Exposure to Certain Chemicals: Prolonged exposure to certain chemicals and substances has been linked to an increased risk of NHL. These include pesticides, herbicides, solvents, and certain industrial chemicals. Individuals working in occupations such as farming, agriculture, or chemical manufacturing may be at a higher risk.
- Prior Cancer Treatment: Some treatments for other types of cancer, such as radiation therapy or certain chemotherapy drugs, can increase the risk of developing NHL later in life. However, the overall benefits of these treatments usually outweigh the potential risks.
- Autoimmune Diseases: Certain autoimmune diseases, such as rheumatoid arthritis, systemic lupus erythematosus, and Sjögren's syndrome, have been associated with an increased risk of NHL. The underlying immune system dysfunction in these conditions may contribute to the development of lymphoma.
- Viruses and Infections: Infections caused by certain viruses and bacteria have been linked to an increased risk of NHL. For example, the Epstein-Barr virus (EBV), which causes infectious mononucleosis, is associated with some types of NHL. Other infections, such as hepatitis C virus (HCV) and Helicobacter pylori (H. pylori) bacteria, have also been implicated.
It is important to note that having one or more of these risk factors does not necessarily mean a person will develop NHL. Many individuals with NHL have no identifiable risk factors, and conversely, some individuals with known risk factors never develop the disease. The development of NHL is likely influenced by a combination of genetic, environmental, and immune system factors.