My 18 year old has cll. can you tell me of any other pediatric cases we can get information from? thank you.

18 years old: ...Falls in that transitional age where either a pediatric or an adult oncologist may be involved. Definitely younger that the typical cll patient, though. I would consider having him seen in a tertiary or academic cancer center where his pathology can be confirmed (never hurts to do that) and he can be seen by a multidisciplinary team with expertise in this situations. Best to you guys.

Academic center: This is a very unusual situation. He should be seen at an academic center by an adult oncologist. Pediatric oncologists never see this disease and would not have experience with its care. Very rarely patients with mononucleosis can have a small number of abnormal cells in the blood that can mimic CLL. The same paradigm should be followed as for older adults with CLL. Watchful waiting until symptom