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Chronic lymphocytic leukemia
Chronic lymphocytic leukemia (CLL) is a disorder of morphologically
mature but immunologically less mature lymphocytes and is manifested
by progressive accumulation of these cells in the blood, bone marrow,
and lymphatic tissues.
CLL is the most common leukemia in adults in western countries, and
for approximately 25% of all leukemias.
The incidence is also age dependent, with an increase from 5.2 per
100,000 persons older than 50 years to 30.4 per 100,000 in people
older than 80.
Estimated new cases and deaths from chronic lymphocytic
leukemia (CLL) in the United States in 2005:
New cases: 9,730.
The male to female ratio is 2:1. This trend appears to
be lost with age; the male-to-female ratio is 2:1 for patients <
50 years old, compared with 1.1:1.0 for those ≥ 75 years old.
CLL occurs primarily in middle-aged and elderly individuals, with
increasing frequency in successive decades of life. The median age at
diagnosis is 70 years.
Race and ethnicity
In the American population, the incidence of CLL is
similar in different races.
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The incidence is much lower in Asia (Japan, Korea, and China),
Latin America, and Africa than in the United States.