This article reviews the factors that have been identified with an ele
vated risk for the development of non-Hodgkin's lymphoma. The incidenc
e rate of lymphoma increased 50% between 1973 and 1987. A high inciden
ce rate has been seen among the elderly, males, and rural populations.
Risk factors have been grouped into viruses, herbicides, and other to
xins. Associated viruses include Epstein-Barr virus, human T cell lymp
hotropic virus, and human immunodeficiency virus. Phenoxyherbicides, p
articular 2,4-D, have often been associated with lymphoma. Benzene is
the most frequently cited toxin in occupational exposures. Herbicides,
benzene, hair dyes, and smoking may be factors that might affect larg
e segments of the population. Epidemiological studies focused on disea
se entities defined with molecular markers will be useful.