Has anyone out there had this problem? I have excellent prognostics...hyper mutated, normal karotype, low 38 or is it 36 presence , 0 zap 70. No del 17 or del 11. Diagnosed April 2013, ANC 6.4. All other blood counts good. Low LDH , beta microglobulin at I.6 In Feb2014 (same as prior year). Was given really good prognosis, but am being seen every 2 months. 2 weeks ago , ANC at 24.9. Every 2 months an increase of five or so. The doctor has offered treatment, but why ? One small lymph node, and blood work fairly stable. What is going on? I have no symptoms of antyhing wrong, but doubling at 6 months. Any advice? I know it is not supposed to count until ANC is 30. Is the doubling considered after that? None of this is making sense . 2 CT scans showing no nodes. Help me understand doubling as I do not understand this.