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Abstract

Chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) are B-cell lymphoproliferative disorders characterized by a proliferation of mature-appearing but functionally incompetent lymphocytes. The result of this proliferation is an accumulation of lymphocytes that progressively infiltrate the lymph nodes, bone marrow, liver, and spleen. CLL and SLL are classified by the World Health Organization as the same disease entity [1]. They are identical histologically and immunophenotypically, but their manifestation is different: CLL manifests primarily in peripheral blood or bone marrow and SLL in the lymph nodes.

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References

  1. Swerdlow SH, Campo E, Harris NL, et al. WHO classification of tumours of haematopoietic and lymphoid tissues. 4th ed. Lyon: IARC Press; 2008.

    Google Scholar 

  2. Jemal A, Siegel R, Xu J, et al. Cancer statistics, 2010. CA Cancer J Clin. 2010;60:277–300.

    Article  PubMed  Google Scholar 

  3. Lin TS, Awan FT, Byrd JC. Clinical manifestations, staging, and treatment of indolent non-Hodgkin’s lymphoma. In: Hoffman R, Benz EJ, Shattil SJ, et al., editors. Hematology: basic principles and practice. 5th ed. Philadelphia: Elsevier; 2009. p. 1327–47.

    Google Scholar 

  4. Amato D, Oscier DG, Davis Z, et al. Cytogenetic aberrations and immunoglobulin VH gene mutations in clinically benign CD5- monoclonal B-cell lymphocytosis. Am J Clin Pathol. 2007;128(2):333–8.

    Article  PubMed  Google Scholar 

  5. Tsimberidou AM, Wen S, McLaughlin P, et al. Other malignancies in chronic lymphocytic leukemia/small lymphocytic lymphoma. J Clin Oncol. 2009;27(6):904–10.

    Article  PubMed  Google Scholar 

  6. NCCN Clinical Practice Guidelines in Oncology: Non-Hodgkin’s Lymphoma v4.2011. National Comprehensive Cancer Network. Accessed 23 May 2012.

    Google Scholar 

  7. Rai KR, Sawitsky A, Cronkite EP, Chanana AD, Levy RN, Pasternack BS. Clinical staging of chronic lymphocytic leukemia. Blood. 1975;46(2):219–34.

    PubMed  CAS  Google Scholar 

  8. Binet JL, Aquier A, Dighiero G, et al. A new prognostic classification of chronic lymphocytic leukemia derived from a multivariate survival analysis. Cancer. 1981;48:198–206.

    Article  PubMed  CAS  Google Scholar 

  9. Campo E, Swerdlow SH, Harris N, Pileri S, Stein H, Jaffe ES. The 2008 WHO classification of lymphoid neoplasms and beyond: evolving concepts and practical applications. Blood. 2011;117(19):5019–32.

    Article  PubMed  CAS  Google Scholar 

  10. Tsimberidou AM, Wen S, O’Brien S, et al. Assessment of chronic lymphocytic leukemia and small lymphocytic lymphoma by absolute lymphocyte counts in 2,126 patients: 20 years of experience at The University of Texas MD Anderson Cancer Center. J Clin Oncol. 2007;25(29):4648–56.

    Article  PubMed  Google Scholar 

  11. Keating MJ, Kantarjian H, Talpaz M, et al. Fludarabine: a new agent with major activity against chronic lymphocytic leukemia. Blood. 1989;74:19–25.

    PubMed  CAS  Google Scholar 

  12. Keating MJ, O’Brien S, Albitar M, et al. Early results of a chemoimmunotherapy regimen of fludarabine, cyclophosphamide, and rituximab as initial therapy for chronic lymphocytic leukemia. J Clin Oncol. 2005;23:4079–88.

    Article  PubMed  CAS  Google Scholar 

  13. Khouri IF, Keating M, Korbling M, et al. Transplant-lite: Induction of graft-versus-malignancy using fludarabine-based nonablative chemotherapy and allogeneic blood progenitor-cell transplantation as treatment for lymphoid malignancies. J Clin Oncol. 1998;16(8):2817–24.

    PubMed  CAS  Google Scholar 

  14. Tsimberidou AM, Keating MJ. Treatment of patients with fludarabine-refractory chronic lymphocytic leukemia: need for new treatment options. Leuk Lymphoma. 2010;51(7):1188–99.

    Article  PubMed  CAS  Google Scholar 

  15. Brown JR. The treatment of relapsed refractory chronic lymphocytic leukemia. Hematology Am Soc Hematol Educ Program. 2011;2011:111–3.

    Article  Google Scholar 

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Correspondence to Apostolia-Maria Tsimberidou .

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Tsimberidou, AM., Keating, M.J. (2013). Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma. In: Rodriguez, M., Walters, R., Burke, T. (eds) 60 Years of Survival Outcomes at The University of Texas MD Anderson Cancer Center. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5197-6_20

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  • DOI: https://doi.org/10.1007/978-1-4614-5197-6_20

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