CLL Diagnosis and Classification

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What is the diagnostic criterion for circulating clonal B cells?

>5 x10e9/l persisting for >3 months

What is the significance of a CLL Score of 4 or 5?

Occurs in 92% of CLL cases

What is the characteristic surface immunophenotype of CLL?

Surface Ig weak, CD5+, CD23+, CD79b-

What is the diagnosis when >15% prolymphocytes are present?

Prolymphocytic progression of CLL

What is the term for a CD5+ monoclonal B cell lymphocytosis that is detectable on a routine FBC?

Monoclonal B cell lymphocytosis (MBL)

Diagnose and classify Chronic Lymphocytic Leukemia (CLL) based on circulating clonal B cells, immunophenotype, and CLL score. Learn to distinguish CLL from other CD5+ lymphoproliferative disorders. Understand the role of prolymphocytes and cMBL in diagnosis.

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