Should I start treatment?

My father is a Chronic lymphocytic leukaemia (CLL) patient in the observation period. His spleen is 19.5 cm long and 5.5 cm wide. He has 44 white blood cells, 93 lymphocytes, 87 platelets, is 59 years old, and has no P53 mutation. Does he need immediate treatment in this case? Which regimen is better for initial treatment?

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Hi @Jocelynliu,
I am so glad you have reached out to us & I hope you are doing okay today? I’m very sorry to hear of your dads diagnosis. I hope he is keeping okay and not struggling too much with symptoms?
You’ve asked a really good question but unfortunately one we cannot answer. As you will perhaps know by now the decision to start treatment will be made by your dads haematology team as they consider many different factors on an individual basis, including his disease status, symptoms and blood results. Therefor this is very much on a patient by patient decision which will be guided by his medical team.

Can i ask if your dad has been seen by his haematology team since he was given his diagnosis & has been given any information about wither he requires active monitoring ( watch & wait) or a plan of starting treatment?

In case it is helpful in any way Jocelyn i have linked to our webpage which talks more about treatment types for Chronic lymphocytic leukaemia (CLL) and what to expect if he does require to start treatment- Chronic lymphocytic leukaemia (CLL) treatment and side effects | Blood Cancer UK.

I know how overwhelming this can all feel so please do know that if you would like to talk things through with us at any point we are only a phone call away for you & your family- Blood cancer information and support by phone and email | Blood Cancer UK.

Take good care, Lauran ( support service nurse)

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Hi @Jocelynliu a great big welcome to our forum and it really comes through how caring you are of your father.
I cannot better @LauranBloodCancerUK response to you.
I also have Chronic lymphocytic leukaemia (CLL), and I was diagnosed 20 yrs ago, at the age of 53yr old, and I have been a very lucky girl and always been on watch and wait (active monitoring).or observation period.
As @LauranBloodCancerUK says your fathers medical team take lots of aspects into account when looking at the way forward. We are all such unique complex beings.
Perhaps sit down with your father and write down all his fears, questions, and practicalities for his next appointment.
Please do let us know how you get on.
Really look after yourselves.

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