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The diagnosis and treatment of hairy-cell leukaemia

D J Allsup1, J C Cawley

  • 1Department of Heamatology, Royal Liverpool University Hospital, Duncan Building, Daulby Street, L69 3GA Liverpool, UK.

Blood Reviews
|September 28, 2002
PubMed

The diagnosis of HCL is usually straightforward and is based on the identification of typical HCs in the blood and bone marrow. The suspected diagnosis is confirmed by a combination of TRAP cytochemistry, a distinctive immunophenotype and characteristic BM trephine appearances. Nucleoside treatment is highly effective in inducing prolonged remissions; relapsing patients can usually be successfully retreated with nucleoside. Monoclonal antibody therapy is a promising novel approach to the treatment of resistant disease.

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