Chronic lymphocytic leukemia clinical staging: Difference between revisions

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{{CMG}} {{AE}}{{HL}}
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==Overview==
==Overview==
According to the Rai Staging System, there are five stages of chronic lymphocytic leukemia based on the degree of [[lymphocytosis]], [[hemoglobin]] level, [[platelet]]s level, presence of [[splenomegaly]], and presence of [[lymphadenopathy]].<ref name="pmid1139039">{{cite journal| author=Rai KR, Sawitsky A, Cronkite EP, Chanana AD, Levy RN, Pasternack BS| title=Clinical staging of chronic lymphocytic leukemia. | journal=Blood | year= 1975 | volume= 46 | issue= 2 | pages= 219-34 | pmid=1139039 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1139039  }} </ref> According to the Binet Staging System, there are three stages of chronic lymphocytic leukemia based on the degree of [[lymphocytosis]], the presence of [[anemia]] or [[thrombocytopenia]], and the involvement of three or more lymph node regions.<ref name="pmid7237385">{{cite journal| author=Binet JL, Auquier A, Dighiero G, Chastang C, Piguet H, Goasguen J et al.| title=A new prognostic classification of chronic lymphocytic leukemia derived from a multivariate survival analysis. | journal=Cancer | year= 1981 | volume= 48 | issue= 1 | pages= 198-206 | pmid=7237385 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7237385  }} </ref> The tumor stage is considered one of the important factors that determine the optimal management protocol of chronic lymphocytic leukemia patients.<ref name="pmid25461996">Nabhan C, Rosen ST (2014) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=25461996 Chronic lymphocytic leukemia: a clinical review.] ''JAMA'' 312 (21):2265-76. [http://dx.doi.org/10.1001/jama.2014.14553 DOI:10.1001/jama.2014.14553] PMID: [http://pubmed.gov/25461996 25461996]</ref>
According to the Rai Staging System, there are five stages of chronic lymphocytic leukemia based on the degree of [[lymphocytosis]], [[hemoglobin]] level, [[platelet]]s level, presence of [[splenomegaly]], and presence of [[lymphadenopathy]]. According to the Binet Staging System, there are three stages of chronic lymphocytic leukemia based on the degree of [[lymphocytosis]], the presence of [[anemia]] or [[thrombocytopenia]], and the involvement of three or more lymph node regions. The tumor stage is considered one of the important factors that determine the optimal management protocol of chronic lymphocytic leukemia patients.


==Staging System==
==Staging System==
===Rai Staging System===
===Rai Staging System===
According to the Rai Staging System, there are five stages of chronic lymphocytic leukemia based on the degree of [[lymphocytosis]], [[hemoglobin]] level, [[platelet]]s level, presence of [[splenomegaly]], and presence of [[lymphadenopathy]].<ref name="pmid1139039">{{cite journal| author=Rai KR, Sawitsky A, Cronkite EP, Chanana AD, Levy RN, Pasternack BS| title=Clinical staging of chronic lymphocytic leukemia. | journal=Blood | year= 1975 | volume= 46 | issue= 2 | pages= 219-34 | pmid=1139039 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1139039  }} </ref>
According to the Rai Staging System, there are five stages of chronic lymphocytic leukemia based on the degree of [[lymphocytosis]], [[hemoglobin]] level, [[platelet]]s level, presence of [[splenomegaly]], and presence of [[lymphadenopathy]].  


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===Binet Staging System===
===Binet Staging System===
According to the Binet Staging System, there are three stages of chronic lymphocytic leukemia based on the degree of [[lymphocytosis]], the presence of [[anemia]] or [[thrombocytopenia]], and the involvement of three or more [[lymph node]] regions.<ref name="pmid7237385">{{cite journal| author=Binet JL, Auquier A, Dighiero G, Chastang C, Piguet H, Goasguen J et al.| title=A new prognostic classification of chronic lymphocytic leukemia derived from a multivariate survival analysis. | journal=Cancer | year= 1981 | volume= 48 | issue= 1 | pages= 198-206 | pmid=7237385 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7237385  }} </ref>
According to the Binet Staging System, there are three stages of chronic lymphocytic leukemia based on the degree of [[lymphocytosis]], the presence of [[anemia]] or [[thrombocytopenia]], and the involvement of three or more [[lymph node]] regions.


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Revision as of 20:34, 31 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]

Overview

According to the Rai Staging System, there are five stages of chronic lymphocytic leukemia based on the degree of lymphocytosis, hemoglobin level, platelets level, presence of splenomegaly, and presence of lymphadenopathy. According to the Binet Staging System, there are three stages of chronic lymphocytic leukemia based on the degree of lymphocytosis, the presence of anemia or thrombocytopenia, and the involvement of three or more lymph node regions. The tumor stage is considered one of the important factors that determine the optimal management protocol of chronic lymphocytic leukemia patients.

Staging System

Rai Staging System

According to the Rai Staging System, there are five stages of chronic lymphocytic leukemia based on the degree of lymphocytosis, hemoglobin level, platelets level, presence of splenomegaly, and presence of lymphadenopathy.

Stage Hemoglobin Level Platelets Level Lymphocytosis Splenomegaly Lymphadenopathy Median Survival

Stage 0

>11 g/dL

>100,000/L

Present

Absent

Absent

>150 months

Stage 1

>11 g/dL

>100,000/L

Present

Absent

Present

101 months

Stage 2

>11 g/dL

>100,000/L

Present

Present

Present or absent

71 months

Stage 3

<11 g/dL

>100,000/L

Present

Present or absent

Present or absent

19 months

Stage 4

<11 g/dL or >11g/dL

<100,000/L

Present

Present or absent

Present or absent

19 months

Binet Staging System

According to the Binet Staging System, there are three stages of chronic lymphocytic leukemia based on the degree of lymphocytosis, the presence of anemia or thrombocytopenia, and the involvement of three or more lymph node regions.

Stage Lymphocytosis Anemia or Thrombocytopenia Lymphadenopathy Median Survival

Stage A

Present

Absent

Absent

Almost normal age and sex adjusted survival rate

Stage B

Present

Absent

Present

7 years

Stage C

Present

Present

Present or Absent

2 years

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