The epidemiology of Hodgkin's disease suggests that it is a heterogene
ous condition comprising more than one disease entity. The Epstein-Bar
r Virus (EBV) is present in the Reed-Sternberg cells of a proportion o
f cases and is likely to play a role in the pathogenesis of these case
s. In this study we show that EBV association rates vary with age at d
iagnosis. We suggest that Hodgkin's disease can be divided into three
disease entities on the basis of EBV association and age, thereby prov
iding biological support for the multiple aetiology hypothesis propose
d by MacMahon (Cancer Res 1966; 26: 1189-1290).