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Hold off CLL treatment when asymptomatic says Roach
A 75 year old white woman with chronic lymphocytic leukemia and del13q mutation asks if early treatment is beneficial. The answer: most CLL progresses slowly and is not curable. early treatment shows no overall survival benefit and harms quality of life. Trust the physician’s guidance and avoid premature therapy. IgG4 related disease discussed: not well characterized, may be genetic, biopsy confirms diagnosis, steroids often effective within weeks.
MENTIONED IN THIS ARTICLE
Dr. Roach
B.C.M