“Lymphocytosis” is a condition where the body’s lymphocyte count is increased.
Dear Dr. Roach: I’m 71 years old. In 2021, lymphocytosis was found during my pre-op workup for breast cancer. I had a successful lumpectomy and radiation, and I am on a five-year course of anastrozole.
I find myself waiting for the other shoe to drop, and I’m having a difficult time enjoying the breast cancer survival I am so grateful for. Any information you can provide about whether CLL is inevitable in patients with lymphocytosis is very much appreciated. Also, please comment on the expected quality/length of life if CLL is diagnosed, including the need for chemotherapy. There are two big categories of white blood cells: lymphocytes and granulocytes.
The word “leukemia” literally means too many white cells in the blood, but leukemias are a large and diverse group of blood cancers. It’s a scary word, but CLL is highly variable. Fifty percent of people with CLL will live more than 10 years from the time of diagnosis, and some will live 30 or more years before dying, often of something unrelated to leukemia.
People who have gene mutations in the IGHV region receive a surprisingly improved prognosis compared to people who do not have mutations. These genetic mutations are always looked for, since they affect the choice of chemotherapy, if needed.
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