The treatment for Chronic Lymphocytic Leukemia (CLL) depends on several factors, such as the type of tumor cells, how far the disease has spread, the patient's age, and overall health. CLL mostly affects older adults, who often have other health problems as well.
Doctors choose the best treatment based on each patient's specific situation. Because CLL usually progresses very slowly, not everyone needs immediate treatment. Instead, doctors might use a "watch and wait" approach, starting treatment only when the disease starts to worsen.
There are certain signs that indicate it's time to start treatment. These include:
- Development of anemia or a low platelet count due to the disease
- Rapid growth of lymph nodes or spleen
- A sudden increase in white blood cells within six months
- Symptoms like weakness, excessive sweating, unexplained weight loss, or fever without an infection
Patients with an unmutated version of CLL, a break in chromosome 17, or a complex karyotype often show these signs sooner.