My wife is 48 years old and has been diagnosed with cll 5 years ago .
13q mutated 65k wbc and within range paletets and hemoglobin.
The nodes in her neck have gotten so big that she cannot go out without covering it with either a scarf or some inventive device to cover it.
Beside that , she is living a normal life , working ,exercising, not getting sick and lots of energy .
My question is : Is it worth stating treatment ( her doctor wants to start her on ibrutinib) and risk side effects that will disturb her way of life more than the esthetic side ?