Case 98 – part 1 – update 2

Our patient has been diagnosed with CLL and has been found to have deletion 17p on cytogenetics.

He has now been on ibrutinib for 15 months. He has tolerated it very well and did get an improvement in his Hb with resolution of his fatigue and sweats. His lymphocyte count had reduced, although it has never gone below 6. He is beginning to feel tired again and is concerned that the CLL may be progressing.

Looking at his fbc (previous clinic fbc from 2/12 ago in brackets)

  • Hb 100 (115)
  • Plt 90 (130)
  • Wcc 40(20)
  • Lymphocytes 32 (10)

Questions:

  • What information do you what?
  • What would you do next?

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