Chronic lymphocytic leukemia
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Overview
Description
Chronic Lymphocytic Leukemia (CLL) is a slow-growing hematologic malignancy characterized by clonal proliferation of mature B lymphocytes. It commonly affects older adults and may present incidentally with lymphocytosis or with fatigue, lymphadenopathy, hepatosplenomegaly, or recurrent infections. Diagnosis involves peripheral smear showing smudge cells, flow cytometry (CD5+, CD19+, CD23+ B-cells), and bone marrow evaluation. Prognosis varies based on cytogenetics (e.g., del17p). Early-stage disease may require observation, while advanced or symptomatic cases are treated with chemoimmunotherapy or targeted agents like BTK inhibitors.
Author
Dr. Muthalagu Ramanathan MD (Oncology), Associate Professor
Director - Myelodysplastic Syndrome Program, Medical Co-Director - Blood & Marrow Transplant Program.Director, Myelodysplastic Syndrome Program, Medical Co-Director, Blood & Marrow Transplant Program, University of Massachusetts Medical School, UMass Memorial Medical Center, USA
