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I Have Hairy Cell Leukemia And Went Through Chemotherapy In November. WBC And Lymphocytes Are High Again (29k And 25K). Spleen Is Elevated

A MyLeukemiaTeam Member asked a question 💭
Belleville, WI
May 13, 2024
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A MyLeukemiaTeam Member

It sounds like you're experiencing a relapse of Hairy Cell Leukemia (HCL) after your initial treatment with chemotherapy. Here's what you might consider based on the information provided:

1. Further Testing: It's important to confirm the relapse through appropriate diagnostic tests. This might include a complete blood Show Full Answer

It sounds like you're experiencing a relapse of Hairy Cell Leukemia (HCL) after your initial treatment with chemotherapy. Here's what you might consider based on the information provided:

1. Further Testing: It's important to confirm the relapse through appropriate diagnostic tests. This might include a complete blood count (CBC), bone marrow biopsy, and possibly imaging studies to assess spleen size.

2. Treatment Options: Since you've had chemotherapy before, your healthcare provider might consider other treatment options if there's a confirmed relapse. This could include:
- Second round of Chemotherapy: Sometimes, another round can help achieve remission again.
- Immunotherapy: Treatments like alpha interferon and immunoglobulin could be considered, especially if chemotherapy isn't suitable this time.
- BRAF Inhibitors: If your HCL is of the classic type with the BRAFV600E mutation, BRAF inhibitors could be an effective treatment option.

3. Monitoring: Regular monitoring of your blood counts and spleen size is crucial. This helps in managing symptoms and adjusting treatment plans promptly.

4. Consultation with a Specialist: Given the complexity of HCL and its treatment, consulting with a hematologist or an oncologist who specializes in leukemia might be beneficial.

It's essential to discuss these options with your healthcare provider to tailor the approach based on your specific health situation.

May 13, 2024

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