What determined when cll treatment was started - CLL Support
What determined when cll treatment was started
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carnation06
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CllcanadaTop Poster CURE Hero
There are a number of factors. Generally stage 4, when the absolute lymphocyte count (ALC) , is over 30K and if it doubles in 6 months this is ONE indicator of treatment. Other considerations are the way you feel... fatigue, sudden weight loss for no reason, drenching night sweats, a drop in platelets or red blood cells, enlarged nodes or spleen, Autoimmune anemia and/or thrombocytopenia, unexplained high fevers and so on. In SLL, the same is true, with the addition of lymphocytes appear in the blood.
It is important to have a second opinion prior to treatment, with a doctor who treats a great number of CLL/SLL patients, since it is part science and part art...
You can learn more from the CLLGuidelines link Section 4: