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Volume 359:2065-2066 November 6, 2008 Number 19
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Monoclonal B-Cell Lymphocytosis and Chronic Lymphocytic Leukemia

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 by Rawstron, A. C.
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To the Editor: The key issue regarding monoclonal B-cell lymphocytosis (MBL) and early chronic lymphocytic leukemia (CLL) is whether there is a fundamental biologic difference that influences the risk of progression and clinical management. Rawstron et al. (Aug. 7 issue)1 analyzed follow-up data for 185 patients, all of whom presented with lymphocytosis. Most of them would have been classified as having early stage A CLL until the recent publication of revised guidelines,2 and hence, features in common would be expected. The rate of progression from stage A to stage B or C is 10% over a period of 5 years . . . [Full Text of this Article]


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