Tonsillectomy and Hodgkin's disease: Results from companion population-based studies

N. Mueller, G. M. Swanson, C. Hsieh, P. Cole

    Research output: Contribution to journalArticle

    17 Citations (Scopus)

    Abstract

    The question of whether persons with a history of tonsillectomy are at increased risk of Hodgkin's disease (HD) in adulthood was evaluated in companion population-based case-control studies conducted in the eastern Massachusetts and the Detroit metropolitan areas. These studies compared the history of tonsillectomy among incident cases with that of all their siblings by matched analysis controlling for confounding by childhood social class, family size, and birth order. Among young adults (15-39 yr) there is substantial evidence that tonsillectomy is not a risk factor and the relative risk (RR) is 1.0 (95% confidence interval, 0.72-1.4). Among middle-aged persons (40-54 yr) the RR is not significantly elevated, 1.5 (0.67-3.3), and the direction of the association differs between the sexes, consistent with the hypothesis of no association. Among older persons, the RR is significantly elevated, 3.0 (1.3-6.9), but the data are sparse. On the basis of these data, it appears unlikely that prior tonsillectomy is a causal factor in the development of HD in young and middle-aged adulthood. Whether it is a risk for the malignancy occurring late in life is unclear.

    Original languageEnglish (US)
    Pages (from-to)1-5
    Number of pages5
    JournalJournal of the National Cancer Institute
    Volume78
    Issue number1
    DOIs
    StatePublished - Jan 1 1987

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    Tonsillectomy
    Hodgkin Disease
    Population
    Birth Order
    Social Class
    Case-Control Studies
    Siblings
    Young Adult
    History
    Confidence Intervals
    Neoplasms

    ASJC Scopus subject areas

    • Oncology
    • Cancer Research

    Cite this

    Tonsillectomy and Hodgkin's disease : Results from companion population-based studies. / Mueller, N.; Swanson, G. M.; Hsieh, C.; Cole, P.

    In: Journal of the National Cancer Institute, Vol. 78, No. 1, 01.01.1987, p. 1-5.

    Research output: Contribution to journalArticle

    Mueller, N. ; Swanson, G. M. ; Hsieh, C. ; Cole, P. / Tonsillectomy and Hodgkin's disease : Results from companion population-based studies. In: Journal of the National Cancer Institute. 1987 ; Vol. 78, No. 1. pp. 1-5.
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