Mature B cells
No programmed cell death. Stuck in G0/G1
Rai stage
rubbery non tender lymph nodes
asymptomatic often
weight loss/sweats if severe
Autoimmune haemolysis
Infection
Marrow failure
hypogammaglobulinaemia (IgG low)
herpes zoster
raised in serum
low
Low
low
T
Fludarabine
Cyclophosphamide
rituximab
Symptomatic
unmutated Ig genes
17p deletions
17p (e.g. del17p13)
Radiotherapy
Pneumonia
yes
Steroids