The identification of major predisposing genes is a more daunting task, however, rare germline variants in KLDHC8B, NPAT, ACAN, KDR, DICER1, and POT1 gene have been reported by different groups in high-risk HL families (Salipante et al., 2009; Saarinen et al., 2011; Ristolainen et al., 2015; Rotunno et al., 2016; Bandapalli et al., 2018; Mcmaster et al., 2018). Here, DICER1 is linked to Hodgkins lymphoma.