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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have CLL For Years With WBC Still High But RBC And Hemoglobin Has Reduced. Will Taking Rituxan Help?

Yes, I have had CLL for over 30 years. My white blood count has been and still is around 5800. However my red blood cell count hs gone down and my hemoglobin has decreased. The doctor is recommending a four week cours of Rituxan, does that sound right?
Wed, 18 Dec 2013
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Oncologist 's  Response
hi, generally patients who are diagnosed as CLL don't require treatment if they are in early stage and asymptotic. I guess you belong to this group since you have not received any treatment for 30 years. but now since your red cells and hemaglobulin is reducing, this implies that the disease is progressing and you need treatment for CLL. there is no standard therapy for CLL. Rituximab is a good option , does not have much toxicity and can be tolerated well. I think you should go ahead with the treatment. Thank you
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Have CLL For Years With WBC Still High But RBC And Hemoglobin Has Reduced. Will Taking Rituxan Help?

hi, generally patients who are diagnosed as CLL don t require treatment if they are in early stage and asymptotic. I guess you belong to this group since you have not received any treatment for 30 years. but now since your red cells and hemaglobulin is reducing, this implies that the disease is progressing and you need treatment for CLL. there is no standard therapy for CLL. Rituximab is a good option , does not have much toxicity and can be tolerated well. I think you should go ahead with the treatment. Thank you