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Treatment of Chronic Lymphocytic Leukemia

General

For chronic lymphocytic leukemia, there is no clear evidence that disease-directed treatment has a life-prolonging effect. The treatment can, however contribute to extending remission and symptom-free periods. This means that treatment is initiated when the disease causes symptoms.  

Indication

The most common indications for anti-leukemic treatment of chronic lymphatic leukemia:

  • bone marrow failure equivalent to Binet's stage C
  • general symptoms such as weight loss and night sweats
  • large symptom-causing tumor
  • troublesome lymph node tumor
  • rapidly progressive lymphocytosis (lymphocyte doubling time < 6 months)
  • autoimmune hemolytic anemia and/or immune-mediated thrombocytopenia, which does not respond to high doses of steroids or is recurring after reduction of treatment intensity.

Goals

  • For the patient to be symptom-free as long as possible.
  • To maintain good quality of life for the patient.

 

 

 

 

 

 

 

Norsk selskap for hematologi. Handlingsprogram for kronisk lymfatisk leukemi [Online] 2005 [hentet 15. april 2007]; tilgjengelig fra: URL: http://www.legeforeningen.no/index.gan?id=84611

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