What is Chronic Lymphocytic Leukemia, and how should we handle it in our dogs? Dr. Dressler tackles this question from Delisa in Alabama.
Some cancers come for dogs right away, and others take longer. Chronic Lymphocytic Leukemia (CLL) can be hard to diagnose, because it often develops while the dog acts totally healthy. But routine blood tests can tip a veterinarian off that something is wrong … and when you know early there are lots of things you can do to help your dog. Today James Jacobson takes a question about CLL, also known as Lymphoid Leukemia, from Delisa in Alabama, and asks Dr. Dressler for an answer.
Links Mentioned in Today’s Show:
Apocaps can be found in many veterinary offices and online, including at https://Apocaps.com
K9 Immunity can be found in many places online, including at https://www.k9medicinals.com
Delisa is a member of the private Facebook group for readers of Dr. Dressler’s book “The Dog Cancer Survival Guide” https://www.facebook.com/groups/dogcancersupport/
Here’s a good article on lymphoid leukemia or lymphocytic leukemia on the National Canine Cancer Foundation’s website: https://wearethecure.org/learn-more-about-canine-cancer/canine-cancer-library/lymphoid-leukemia/
Here’s a good article that will help you to understand the difference among blood cancers, including chronic lymphocytic leukemia: https://www.vetfolio.com/learn/article/lymphoid-leukemia-in-dogs
You can reach out to Dr. Demian Dressler directly on his veterinary hospital’s website: https://VetinKihei.com.
Quick Overview of CLL from James Jacobson’s conversation with Dr. Nancy Reese:
First, let’s get clarity on this disease a little, because it’s often confused with a much more common dog cancer called lymphoma. To find out more, I asked one of our Full Spectrum veterinarians, Dr. Nancy Reese about Chronic Lymphocytic Leukemia, also known as Chronic Lymphoid Leukemia, or CLL for short.
I don’t have tape of our conversation about CLL, but you’ll hear from Dr. Nancy in an upcoming episode about Covid-19.
By email, Dr. Nancy explained that lymphoma and lymphocytic leukemia are both cancers of the lymphocytes.
What’s a lymphocyte? It’s a type of white blood cell that is born in the bone marrow, and less often, the spleen.
Those white blood cells circulate in the blood stream and the lymph system, fighting infections in cells all over the body. So, when lymphocytes get cancer, you’ve got a systemic disease, which means the cancer is everywhere by definition.
In lymphoma, the cancerous lymphocytes tend to collect in the lymph glands, which tend to get swollen.
In lymphocytic leukemia, the cancerous lymphocytes tend to circulate in the bloodstream.
Same cells, different locations in the body.
Either way, the cancer cells, the lymphoid or lymphocytic cells, are everywhere ... so when you get this diagnosis, the veterinarian will almost always recommend chemotherapy. That's the only conventional treatment that circulates in the blood and goes everywhere in the body, right?
So today’s question is this: when do you need to start the chemo for Lymphoid or Lymphocytic Leukemia? Right when you get the diagnosis? Or can you wait a while?
Well, the answer depends on whether the lymphocytic leukemia is acute or chronic!
Chronic conditions are long-developing, as opposed to severe and sudden, or acute conditions. Right? So Chronic Lymphocytic Leukemia is a long-developing cancer of lymphocytes. Also, Dr. Nancy added, the lymphocytes involved in CLL are mature and divide slowly, at the same rate as a normal cell. So that’s one reason this form of the cancer takes a long time to develop.
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