Purpose
To investigate the risk of non-Hodgkin lymphoma (NHL) associated with
residential carpet dust measurements of polycyclic aromatic hydrocarbons
(PAHs).
Methods
We evaluated the relationship between residential carpet dust PAH
concentrations (benz(a)anthracene, benzo(a)pyrene, benzo(b)fluoranthene,
benzo(k)fluoranthene, chrysene, dibenz(a,h)anthracene, and
indeno(1,2,3-c,d)pyrene, and their sum) and risk of NHL (676 cases, 511
controls) in the National Cancer Institute Surveillance Epidemiology and End
Results multicenter case–control study. As a secondary aim, we
investigated determinants of dust PAH concentrations. We computed odds
ratios (OR) and 95 % confidence interval (CI) for associations
between NHL and concentrations of individual and summed PAHs using
unconditional logistic regression, adjusting for age, gender, and study
center. Determinants of natural log-transformed PAHs were investigated using
multivariate least-squares regression.
Results
We observed some elevated risks for NHL overall and B cell lymphoma
subtypes in association with quartiles or tertiles of PAH concentrations,
but without a monotonic trend, and there was no association comparing the
highest quartile or tertile to the lowest. In contrast, risk of T cell
lymphoma was significantly increased among participants with the highest
tertile of summed PAHs (OR = 3.04; 95 % CI,
1.09–8.47) and benzo(k)fluoranthene (OR = 3.20; 95 %
CI, 1.13–9.11) compared with the lowest tertile. Predictors of PAH
dust concentrations in homes included ambient air PAH concentrations and the
proportion of developed land within 2 km of a residence. Older age, more
years of education, and white race were also predictive of higher levels in
homes.
Conclusion
Our results suggest a potential link between PAH exposure and risk of
T cell lymphoma and demonstrate the importance of analyzing risk by NHL
histologic type.