Age, gender, and racial differences in incidence and survival in primary CNS lymphoma

J. L. Villano, M. Koshy, H. Shaikh, T. A. Dolecek, B. J. McCarthy

Research output: Contribution to journalArticlepeer-review

398 Scopus citations


Background: Primary central nervous system lymphoma (PCNSL) is a rare subtype of extranodal non-Hodgkin lymphoma that accounts for 4% of newly diagnosed central nervous system (CNS) tumours. The objective of this study was to analyse the epidemiology, incidence, and outcome of these rare tumours. Methods: Primary brain and CNS lymphoma cases were identified from the Surveillance, Epidemiology, and End Results (SEER) research data sets for the years 1980-2008 for analysis of trends in incidence and survival. SEER Stat v. 7.0.4 software was used to analyse the data. Results: The overall incidence rate of PCNSL was 0.47 per 100 000 person-years. The incidence was significantly higher in males compared with females, blacks aged 0-49 years at diagnosis compared with whites, and whites aged 50 years and older at diagnosis compared with blacks. After a significant decline in incidence between 1995 and 1999, incidence rates rose slightly; those aged 75 years at diagnosis had the most dramatic increase in incidence rates over time. Five-year survival rates were significantly higher in whites compared with blacks aged 0-49 years at diagnosis, but was primarily driven by white women aged 0-49 years. Conclusion: There is an increase in incidence of PCNSL in the elderly, and elderly blacks have lower incidence compared with white population. Survival remains poor and is negatively dominated by factors associated with HIV infection and advanced age.

Original languageEnglish
Pages (from-to)1414-1418
Number of pages5
JournalBritish Journal of Cancer
Issue number9
StatePublished - Oct 25 2011

Bibliographical note

Funding Information:
All analyses were conducted under contract to the Central Brain Tumor Registry of the United States, which receives funding from American Brain Tumor Association, National Brain Tumor Society, Pediatric Brain Tumor Foundation, and National Cancer Institute, National Institutes of Health, Department of Health and Human Services no. HHSN261000800766P and no. HHSN261201000576P.


  • Lymphoma
  • brain tumour
  • epidemiology
  • incidence
  • trends

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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