Three Nigerian sib-pairs with familial Burkitt's lymphoma (BL) seen be
tween 1986 and 1996 are described. Their ages ranged from 4 to 20 year
s (median 9.5), and there were five males and one female. The mean age
interval between each pair at presentation was 4 years (3-6) and the
mean time interval 22 months (0.3-41). Two of the sib-pairs were sex-c
oncordant, including a set of monozygotic twins. Five of the patients
presented in stage C and one in stage A. Parental consanguinity was no
t found in any group. Space-clustering was confirmed in all three but
time-clustering in only one. The occurrence of BL in multiple members
of the same family, the presence of sex condordance and the relatively
wide variation in the time of onset of disease between each pair sugg
est genetic predisposition as a possible additional aetiological facto
r for BL in the families affected.