Patient: Patient, female, 47 years old, previously in good health, found and confirmed during a physical examination in late July, now asymptomatic. Current condition: 1: white blood cell count 29.92, lymphocytes 82.5%, neutrophils 8.2; 2: partial enlargement of bilateral axillary and cervical lymph nodes, no treatment started yet. Can you suggest any treatment for this condition?
Cui Guohui, Department of Hematology, Wuhan Union Medical College Hospital: Not all chronic lymphocytic leukemia requires immediate treatment, but only when the patient has significant disease-related symptoms such as weight loss, weakness, night sweats, non-infectious fever, etc.; or when the white blood cell count increases rapidly, more than doubling within six months; or when anemia and thrombocytopenia …. The choice of treatment can be based on your economic situation and the prognostic information obtained from cytogenetic or molecular genetic test analysis.
Cui Guohui, Department of Hematology, Wuhan Union Medical College Hospital