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30th May 2023
A 55-year-old male is referred to haematology clinic with lymphocytosis
A 55-year-old male is referred to haematology clinic with lymphocytosis. He is diagnosed with CLL and managed with a ‘watch and wait’ strategy. At his 6 month follow up, he remains well in himself and is asymptomatic. Examination is unremarkable.
His blood results are as below:
| Now | 6 months ago | ||
|---|---|---|---|
| Hb | 117 g/L | 129 g/L | (130-170 g/L) |
| WCC | 80 x 10⁹/L | 50 x 10⁹/L | (3.6-11 x 10⁹/L) |
| Platelets | 135 x 10⁹/L | 180 x 10⁹/L | (150-400 x 10⁹/L) |
| Neutrophils | 6.5 x 10⁹/L | 6.3 x 10⁹/L | (1.8-7.5 x 10⁹/L) |
| Lymphocytes | 70 x 10⁹/L | 41 x 10⁹/L | (1.0-4.0 x 10⁹/L) |
Based on the information above, which approach is now most appropriate?
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