Two-Year Survey of Hematologic Malignancies in Uganda

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Abstract
All cases of leukemia, lymphosarcoma, Burkitt's lymphoma, Hodgkin's disease, multiple myeloma, and histiocytic medullary reticulosis reported in Uganda during a 2-year period were analyzed with regard to sex, incidence, and regional variations in incidence. In Kyadondo County, the incidence of these diseases was similar to that found in other African populations, but lower than the rates found in Western countries. In the age-specific incidence curves for Uganda, a marked decrease in incidence in the older age group was evident at a point where the rate in Western countries increases geometrically. An exception was Hodgkin's disease, for which the rate and bimodal shape of the age-specific incidence curve were similar to those of Western countries. There was a low rate of leukemia of all cytologic types. In the Northern Province of Uganda, the high rate of Burkitt's lymphoma was confirmed, and the incidence of Hodgkin's disease and lymphosarcoma was higher than expected. Eleven cases of histiocytic medullary reticulosis were recorded.

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