Skip to main content

Epidemiology of Multiple Myeloma

  • Chapter
  • First Online:
Multiple Myeloma

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 183))

Abstract

Multiple myelomas are a less frequent cancer site among both sexes. On a worldwide scale, it is estimated that about 86 000 incident cases occur annually, accounting for about 0.8% of all new cancer cases. About 63 000 subjects are reported to die from the disease each year, accounting for 0.9% of all cancer deaths. Geographically, the frequency is very unevenly distributed in the world with the highest incidence in the industrialised regions of Australia / New Zealand, Europe and North America. Incidence and mortality seem to be stable in Asian countries and to increase slowly over the decades among whites in the western countries. The etiology is poorly understood. This depends partly upon the fact that the risk factors which play a major role for malignant diseases in general, such as tobacco consumption and diet have not been found strongly involved into multiple myeloma etiology. Nevertheless, some consistency seems to be in the findings about a risk elevation with obesity and a slightly decreased risk with high fruit consumption. Despite some contradicting results, indications to a role of ionising radiation persist. Finally, infections with HIV and hepatitis C virus appear related to an elevated multiple myeloma risk. Currently, large efforts are undertaken to unravel the etiology of malignant lymphoma including those of multiple myeloma.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Alexander D, Mink PJ, Adam HO, Cole P, Mandel JS, Oken MM, Trichopoulos D (2007) Multiple myeloma: a review of the epidemiologic literature. Int J Cancer 120:40–61

    Article  PubMed  Google Scholar 

  • Becker N, Deeg E, Nieters A (2004) Population-based study of lymphomas in Germany: rationale, study design and first results. Leuk Res 28:713–724

    Article  PubMed  Google Scholar 

  • Becker N, de Sanjosé S, Nieters A, Maynadié M, Foretova L, Cocco PL, Staines A, Alvaro T, Vornanen M, Brennan P, Boffetta P (2007) Birth order, allergies and lymphoma risk: results of the European collaborative research project Epilymph. Leuk Res 31:1365–1372

    Article  PubMed  Google Scholar 

  • Becker N, Liebermann D, Wesch H, van Kaick G (2008) Mortality among Thorotrast-exposed patients and an unexposed comparison group in the German Thorotrast study. Eur J Cancer 44(9):1259–1268

    Article  PubMed  CAS  Google Scholar 

  • Bergström A, Pisani P, Tenet V, Wolk A, Adami HO (2001) Overweight as an avoidable cause of cancer in Europe. Int J Cancer 91:421–430

    Article  PubMed  Google Scholar 

  • Bianchini F, Kaaks R, Vainio H (2002) Weight control and physical activity in cancer prevention. Obes Rev 3:5–8

    Article  PubMed  Google Scholar 

  • Birmann BM, Giovannucci E, Rosner B, Anderson KC, Colditz GA (2007) Body mass index, physical activity, and risk of multiple myeloma. Cancer Epidemiol Biomarkers Prev 16:1474–1478

    Article  PubMed  Google Scholar 

  • Blair CK, Cerhan JR, Folsom AR, Ross JA (2005) Anthropometric characteristics and risk of multiple myeloma. Epidemiology 16:691–694

    Article  PubMed  Google Scholar 

  • Boffetta P, Amstrong B, Linet M, Kasten C, Cozen W, Hartge P (2007) Consortia in cancer epidemiology: lessons from InterLymph. Cancer Epidemiol Biomarkers Prev 16(2):197–199

    Article  PubMed  Google Scholar 

  • Britton JA, Khan AE, Rohrmann S, Becker N, Linseisen J, Nieters A, Kaaks R, TjØnneland A, Haljær J, Tang Serverinsen M, Overvad K, Rischon T, Boeing H, Trichopoulou A, Kalapothaki V, Trichopoulos D, Mattiello A, Tagliabue G, Sacerdote C, Peeters PHM, Bueno-de-Mesquita B, Ardanaz E, Navarro C, Jakszyn P, Altzibar JM, Hallmans G, Malmer B, Berglund G, Manjer J, Allen N, Key T, Bingham S, Besson H, Ferrari P, Jenab M, Boffetta P, Vineis P, Riboli E (2008) Anthropometric characteristics and non-Hodgkin’s lymphoma and multiple myeloma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC). Haematologica 93(11):1666–1677

    Article  PubMed  Google Scholar 

  • Brown LM, Gridley G, Pottern LM, Baris D, Swanso CA, Silvermann DT, Hayes RB, Greenberg RS, Swanson GM, Schoenberg JB, Schwartz AG, Fraumeni JF, Jr. (2001) Diet and nutrition as risk factors for multiple myeloma among blacks and whites in the United States. Cancer Causes Control 12:117–125

    PubMed  Google Scholar 

  • Cardis E, Vrijheid M, Blettner M, Gilbert E, Hakama M, Hill C, Howe G, Kaldor J, Muirhead CR, Schubauer-Berigan M, Yoshimura T, Bermann F, Cowper G, Fix J, Hacker C, Heinmiller B, Marshall M, Thierry-Chef I, Utterback D, Ahn Y-O, Amoros E, Ashmore P, Auvinen A, Bae J-M, Bernar J, Biau A, Cambalot E, Deboodt P, Diez Sacristan A, Eklöf M, Engels H, Engholm G, Gulis G, Habib RR, Holan K, Hyvonen H, Kerekes A, Kurtinaitis J, Malker H, Martuzzi M, Mastauskas A, Monnet A, Moser M, Pearce MS, Richardson DB, Rodriguez-Artalejo F, Rogel A, Tardy H, Telle-Lamberton M, Turai I, Usel M, Veress K (2007) Radiation Res 167:396–416

    PubMed  Google Scholar 

  • Coleman EA, Senner JW, Edwards BK (2008) Does multiple myeloma incidence vary by geographic area? J Ark Med Soc 105(4):89–91

    PubMed  Google Scholar 

  • Costantini AS, Benvenuti A, Vineis P, Kriebel D, Tumino R, Ramazzotti V, Rodella S, Stagnaro E, Crosignani P, Amadori D, Mirabelli D, Sommani L, Belletti I, Troschel L, Romea L, Miceli G, Tozzi GA, Mendico I, Maltoni SA, Miligi L (2008) Risk of leukemia and multiple myeloma associated with exposure to benzene and other organic solvents: Evidence from the Italian multicenter case-control study. Am J of Industrial Med 51:803–811

    PubMed  Google Scholar 

  • Devesa SS, Fears T (1992) Non-Hodgkin´s Lymphoma time trends: United States and international data. Cancer Res (Suppl) 52:5432s–5440s

    PubMed  Google Scholar 

  • Doll R, Peto R (1981) The causes of cancer. J Natl Cancer Inst 66:1191–1308

    PubMed  CAS  Google Scholar 

  • Duberg AS, Nordstrom M, Torner A, Reichard O, Strauss R, Janzon R, Black E, Ekdahl K (2005) Non-Hodgkin´s lymphoma and other nonhepatic malignanies in Swedish patients with hepatitis C virus infection. Hepatology 41:652–659

    PubMed  CAS  Google Scholar 

  • Ge NL, Rudikoff S (2000) Insulin-like growth factor I is a dual effector of multiple myeloma cell growth. Blood 96:2856–2861

    PubMed  CAS  Google Scholar 

  • Goedert JJ, Cote TR, Virgo P, Scoppa SM, Kingma DW, Gail MH, Jaffe ES, Biggar RJ (1998) Spectrum of AIDS-assoicated malignant disorders. Lancet 351:1833–1839

    PubMed  CAS  Google Scholar 

  • Grulich AE, Wan X, Law MG, Coates M, Kaldo JM (1999) Risk of cancer in people with AIDS. AIDS 13:839–843

    PubMed  CAS  Google Scholar 

  • Harvard Report on Cancer Prevention (1996) Volume 1: Causes of human cancer. Cancer Causes Control 7(Suppl 1):S55–S58

    Google Scholar 

  • Hemminki K, Li X, Czene K (2004) Familial risk of cance: data for clinical counseling and cancer genetics. Int J Cancer 108:109–114

    Article  PubMed  Google Scholar 

  • IARC (2002) IARC Handbooks of cancer prevention. Volume 6. Weight control and physical activity. IARC Press, Lyon

    Google Scholar 

  • Kaaks R, Lukanova A (2002) Effects of weight control and physical activity in cancer prevention: role of endogenous hormone metabolism. Ann NY Acad Sci 963:268–281

    Article  PubMed  CAS  Google Scholar 

  • Larsson SC, Wolk A (2007) Body mass index and risk of multiple myeloma: a meta-analysis. Int J Cancer 121:2512–2516

    Article  PubMed  CAS  Google Scholar 

  • Nieters A, Deeg E, Becker N (2006a) Tobacco and alcohol consumption and risk of lymphoma: results of a population-based case-control study in Germany. Int J Cancer 118:422–430

    Article  PubMed  CAS  Google Scholar 

  • Nieters A, Kallinowski B, Brennan P, Ott M, Maynadié M, Benavente Y, Foretova L, Cocco PL, Staines A, Vornanen M, Whitby D, Boffetta P, Becker N, de Sanjosé S (2006b) Hepatitis C and risk of lymphoma: results of the European multicenter case-control study EPILYMPH. Gastroenterology 131:1879–1886

    Article  PubMed  CAS  Google Scholar 

  • Nieters A, Rohrmann S, Becker N, Linseisen J, Ruediger T, Overvad K, TjØnneland A, Ohlsen A, Allen NE, Travis RC, Bingham S, Khaw KT, Ardanaz E, Redondo ML, Basterrechea M, Martinez C, Tormo MJ, Rosso S, Tagliabue G, Masala G, Mattiello A, Tumino R, Boeing H, Bergmann M, Kaaks R, Trichopoulou A, Trichopoulos D, Peeters PH, Bueno-de-Mesquita B, Boffetta P, Brennan P, Ferrari P, Neasham D, Lund E, Berglund G, Manjer J, Hallmans G, Johansson I, Vineis P, Riboli E (2008) Smoking and lymphoma risk in the European prospective investigation into cancer and nutrition. Am J Epidemiol 167:1081–1089

    Article  PubMed  Google Scholar 

  • Oh SW, Yoon YS, Shin SA (2005) Effects of excess weight on cancer incidences dependng on cancer sites and histologic findings among men: Korea National Health Insurance Corporation Study. J Clin Oncol 23:4742–4754

    Article  PubMed  Google Scholar 

  • Pan SY, Johnson KC, Ugnat AM, Wen SW, Mao Y (2004) Association of obesity and cancer risk in Canada. Am J Epidemiol 195:259–268

    Article  PubMed  Google Scholar 

  • Parkin M, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108

    Article  PubMed  Google Scholar 

  • Preston DL, Kusumi S, Tomonaga M, Izumi S, Ron E, Kuramoto A, Kamada N, Dohy H, Matsui T, Nonaka H, Thompson DE, Soda M, Mabuchi K (1994) Cancer incidence in atomic bomb survivors. Part III: Leukemia, lymphoma and multiple myeloma, 1950–1987. Radiat Res 137:S68–S97

    Article  PubMed  CAS  Google Scholar 

  • Reeves GK, Pirie K, Beral V, Green J, Spencer E, Bull D, Million Women Study Collaboration (2007) Cancer incidence and mortality in relation to body mass index in the Million Women study: cohort study. BMJ 335(7630):1134, Epub 6 Nov 2007

    Article  PubMed  Google Scholar 

  • Rohrmann S, Becker N, Linseisen J, Nieters A, Rüdiger T, Raaschou-Nielsen O, Tjonneland A, Johnsen HE, Overvad K, Kaaks R, Bergmann MM, Boeing H, Benetou V, Psaltopoulou T, Trichopoulou A, Masala G, Mattiello A, Krogh V, Tumino R, van Gils CH, Peeters PHM, Bas Bueno-de-Mesquita H, Ros MM, Lund E, Ardanaz E, Chirlaque M-D, Jakszyn P, Larranaga N, Losada A, Martinez-Garcia C, Agren A, Hallmans G, Berglund G, Manjer J, Allen NE, Key TJ, Bingham S, Khaw KT, Slimani N, Ferrari P, Boffetta P, Norat T, Vineis P, Riboli E (2007) Fruit and vegetable consumption and lymphoma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC). Cancer Causes Control 18:537–549

    Article  PubMed  Google Scholar 

  • Tavani A, Pregnolato A, Negri E, Franceschi S, Serraino D, Carbone A, La Vecchia C (1997) Diet and risk of lymphoid neoplasms and soft tissue sarcomas. Nutr Cancer 27:256–260

    Article  PubMed  Google Scholar 

  • Valjinac HD, Pekmezovic TH, Adanja BJ, Marinkovic JM, Kanazir MS, Suvajdizic ND, Colovic MD (2003) Case-control study of multiple myeloma with special reference to diet as risk factor. Neoplasma 50:79–83

    Article  PubMed  Google Scholar 

  • Visfeldt J, Andersson M (1995) Pathoanatomical aspects of malignant haematological disorders among Danish patients exposed to thorium dioxide. APMIS 103:29–36

    Article  PubMed  Google Scholar 

  • Wynder EL, Gori GB (1977) Contribution of the environment to cancer incidence: an epidemiologic exercise. JNCI 58:825–832

    PubMed  CAS  Google Scholar 

  • Xu F, Gardner A, Tu Y, Michl P, Prager D, Lichtenstein A (1997) Multiple myeloma cells are protected against dexamethasone-included apoptosis by insulin-like growth factors. Br J Haematol 97:429–440

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nikolaus Becker .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Becker, N. (2011). Epidemiology of Multiple Myeloma. In: Moehler, T., Goldschmidt, H. (eds) Multiple Myeloma. Recent Results in Cancer Research, vol 183. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-85772-3_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-85772-3_2

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-85771-6

  • Online ISBN: 978-3-540-85772-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics