My 31 yr old brother was diagnosed with CLL this week. He is not symptomatic but has/had extremely swollen lymph nodes for several years (at least 4-5yrs) he did not have medical insurance and it wasn't bothersome so he never went to the doctor until I got him insurance recently. I am a physician assistant student with a good basis of medical knowledge yet still I am finding his lab work difficult to interpret. I am interested to know more about the flow cytometry results, his CD19,CD5&Abs Cnt, &Kappa are all high, and his Tcell markers are a mix of low and high values. His WBC is 88,000 with a 95%lymphocyte count. I am interested in knowing more about the flow cytometry and what these values mean. I read about the ZAP-70 and IVGH, are these included in a flow cytometry? Or what test would you ask to be done? What does the FISH test give information on? The chromosomal abnormalities associated with this condition? My brother doesn't understand medical talk to begin with and this news has left him very confused. I am hoping to help him understand and choose the best treatment in his case. I know CLL is not typically a young person disease, so there is likely some chromosomal abnormality. Any advice/experiences on testing and treatments would be very helpful. His doctor mentioned possibly immunoglobulin protein treatment? but I am wondering why not chemo given his young age and no co-morbidities. I intend to set him up with a specialist in CLL who can answer all his questions. Obviously, with him being so young we are very confused on why this happened. We have no known family history. Again, appreciate any help, suggestions, feedback. If you need specific values of labs I can provide them.