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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Stage I CLL. Enlarged Nodes, Spike In WBC. Taking Bendamustine And Rituximab. Chest Discomfort

Hi. I was diagnosed with Stage 1 CLL October 2012. My WBC was 16 at that time and continues to increase. From July to October of this year, the count went from 60 to 113. My Oncologist is concerned with the spike in a short amount of time and would like to see me in six weeks rather than the normal three month schedule. My nodes are enlarged and have been since October 2012. My oncologist is recommending treatment- Bendamustine and Rituximab. I am researching more about that. The concern I have is that I have intermittent chest discomfort and pressure. I had a heart attack in October 2012 which led me to this after the docs taking blood tests. Anyway, I am a non smoker, age 56 and healthy. Just curious if the tingly feeling I get throughout my body is part if the CLL. My blood pressure is generally around 104-110.

Really? I fee applied to get an answer?
Mon, 4 Nov 2013
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General & Family Physician 's  Response
Hi and thanks for the query,
You should not be concerned about the blood pressure readings, for they are satisfactory. The spike in the the white cell count would deserve some reevaluation. Changing the drugs you take, associating radiotherapy should also be important considerations. It might be important to get another biopsy of bone marrow aspirate to better update the diagnosis and review the management plan. Thanks and kind regards
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Have Stage I CLL. Enlarged Nodes, Spike In WBC. Taking Bendamustine And Rituximab. Chest Discomfort

Hi and thanks for the query, You should not be concerned about the blood pressure readings, for they are satisfactory. The spike in the the white cell count would deserve some reevaluation. Changing the drugs you take, associating radiotherapy should also be important considerations. It might be important to get another biopsy of bone marrow aspirate to better update the diagnosis and review the management plan. Thanks and kind regards