Abstract
A 62-year-old woman with chronic lymphocytic leukemia [corrected] (CLL) who initially presented with lymphocytosis and 13q deletion in 1996 now presents to the clinic for recommendations regarding relapsed disease. The patient has received multiple prior therapies, including single-agent fludarabine, fludarabine and rituximab, and bendamustine and rituximab. She now has recurrent lymphocytosis with a WBC count that has increased from 13,000 2 months ago to 115,000 today and a platelet count of 55,000 but no lymphadenopathy. In addition, your evaluation finds that she has acquired a 17p deletion.
MeSH terms
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Alemtuzumab
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Antibodies, Monoclonal, Humanized / pharmacology*
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Antibodies, Monoclonal, Humanized / therapeutic use*
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Antibodies, Neoplasm / pharmacology*
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Antibodies, Neoplasm / therapeutic use*
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Antineoplastic Agents / pharmacology
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Antineoplastic Agents / therapeutic use
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Chromosome Deletion
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Chromosomes, Human, Pair 17 / genetics
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Clinical Trials as Topic
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Drug Resistance, Neoplasm / drug effects*
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Female
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Humans
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Leukemia, Lymphocytic, Chronic, B-Cell / drug therapy*
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Middle Aged
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Recurrence
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Treatment Outcome
Substances
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Antibodies, Monoclonal, Humanized
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Antibodies, Neoplasm
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Antineoplastic Agents
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Alemtuzumab