M/61 yrs old, a known case of diabetes, came to surgical OPD for I&D on rt thumb swelling, CBC showed high total WBC count; 71,000/cumm, Diff; poly-10%, Ly-84%, Mo-4%, Eo-1%, Baso-1% most of the lymphocytes are mature lymphocyte, no palpable spleen & no lypmphadenopathy,
In my opinion this is CLL stage-0(Rai classification), but some of my physician/pathologist friends avoid use of term CLL in this type of cases & prefer to say ‘absolute lymphocytosis ‘ as no treatment is required for CLL stage-0 & only follow up is recommended. I also agree with this policy, but it looks very odd to say absolute lymhocytosis when total wbc count & absolute lymphocyte count is >50,000/cumm, please give your comments.