Chronic Lymphocytic Leukemia (CLL)

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  • เผยแพร่เมื่อ 28 มิ.ย. 2024
  • Official Ninja Nerd Website: ninjanerd.org
    You can find the NOTES and ILLUSTRATIONS for this lecture on our website at:
    www.ninjanerd.org/lecture/chr...
    Ninja Nerds!
    In this lecture Professor Zach Murphy will be presenting on Chronic Lymphocytic Leukemia (CLL). CLL is a type of cancer that affects the blood and the bone marrow. We hope you enjoy this lecture and be sure to support us below!
    Table of Contents:
    0:00 Lab
    0:07 Chronic Lymphocytic Leukemia (CLL) Introduction
    0:55 Hematopoiesis Pathway
    5:36 Pathophysiology
    17:49 Diagnostic Approach to CLL
    26:27 Treatment
    33:49 Comment, Like, SUBSCRIBE!
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ความคิดเห็น • 211

  • @Travelin2Wit
    @Travelin2Wit 21 ชั่วโมงที่ผ่านมา

    You really know your stuff. I have CLL apparantly coming out of a 4 year remission. I can't say I understand it all but pretty well for an IT person. I'm now 66 years old, i quit chemo halfway through because I got bad sepsis and was hospitalized a week or so for that. I had been also getting 2 units of blood packed with red blood cells weekly. It only lasted 5 days or so, finallly, my dr. prescribed me cyclosporin (Modified) 50 3xaday and within 2 days, my body stopped shortening the life of the transfusions and I went into remission. I was at NYC Mt Sinai let's see what happens now...The adventure continues!... thank you.

  • @user-je1ly1th2w
    @user-je1ly1th2w 6 หลายเดือนก่อน +7

    The love of my life got CLL as the result of exposure to Agent Orange when he was serving on two different Navy aircraft carriers during the Vietnam War. We lost him in February of 2023, after cancer took his bladder and prostate (not uncommon for CLL patients), as well as multiple skin cancers - all going on in his body at the same time. If you or someone you love has CLL, don’t postpone treatment. And God bless you.

  • @connorcosgrove2240
    @connorcosgrove2240 ปีที่แล้ว +34

    That’s what my mom has, she got diagnosed with it on April 1, 2015. She waited treatment wise until January of 2021. She ended up doing immunotherapy for 5 months back in April of 2021. After her last treatment, she now has follow ups monthly to as of right now once every three months. She takes ibrutinib everyday along with acyclovir twice a day for shingles and celebrex for arthritis in her knees

    • @greedysourceofgod4819
      @greedysourceofgod4819 10 หลายเดือนก่อน

      How old is your mom , since my dad got diagnosed these past week

    • @connorcosgrove2240
      @connorcosgrove2240 10 หลายเดือนก่อน

      @@greedysourceofgod4819 young, mid 50s

    • @sonyafox3271
      @sonyafox3271 9 หลายเดือนก่อน +1

      You aren’t made to wait for treatment, a lot of times at the time your diagnosed there maybe no need for any kind of treatment right away unless something is going on where the cancer isn’t active per say and, that’s why your mom didn’t do or receive treatment till 2021! Example, I was diagnosed with CLL at the age of 42, however, I didn’t need treatment till 3 yrs later and, it wasn’t for the fact, I had to wait a certain period before, I got treated, the cancer was not active or rather nothing was going on till then, that required a reason to get any treatment!

    • @user-je1ly1th2w
      @user-je1ly1th2w 4 หลายเดือนก่อน

      She must be one strong woman. My husband was put on Ibrutinib and it put him in the hospital for nine days. They had to change to Calquence, and he did better on that.

    • @olydnk5270
      @olydnk5270 2 หลายเดือนก่อน +2

      ​@@sonyafox3271that's what she meant. She waited for treatment because the stage of the cancer wasn't yet at the point of treatment. It is not about being active..but stages of development as clearly explained in the video. Stage 0 you do nothing. Just wait... Etc etc

  • @jefflyons6433
    @jefflyons6433 5 หลายเดือนก่อน +13

    If I had teachers like you, I might have gone to med school. I recently learned that my wife has CLL. Even though I'm not in the medical field, I want to learn everything I can about her condition and your talks are absolutely amazing! One of the worst things of a disease is the unknown, and you have done so much to help me understand her situation. Thank you, thank you, thank you.

    • @asgio27
      @asgio27 2 หลายเดือนก่อน

      Yes, very good instructor. Just got my diagnosis yesterday. Will be looking for lots of information. Good luck go wife.

    • @deniseschein113
      @deniseschein113 3 วันที่ผ่านมา

      Grateful for you! Relearning, refreshing and enlightening!🙏🏻

  • @shooterps2434
    @shooterps2434 ปีที่แล้ว +6

    you already helped me in physiology and now a few years later in clinical oncology. you're the best

  • @ClassicB3bituh
    @ClassicB3bituh 9 หลายเดือนก่อน +8

    You are so amazing!! I cannot stop bragging about your lectures to all my med student friends. ❤

  • @user-bi4bi1ip3m
    @user-bi4bi1ip3m 6 หลายเดือนก่อน +2

    Have had CLL but never had it really explained to me. Now I have a much greater understanding. Thank you.

  • @user-eg6ui2qz5e
    @user-eg6ui2qz5e ปีที่แล้ว +5

    Thanks for your supporting❤❤❤❤

  • @livm99
    @livm99 ปีที่แล้ว +1

    i'm a biomed. student and these videos really help me understand hematology better

  • @ahmedgibrel1162
    @ahmedgibrel1162 11 หลายเดือนก่อน +1

    Tons of thanks for such an outstanding tutorial

  • @abdulazizhalimov
    @abdulazizhalimov 3 หลายเดือนก่อน

    I appreciate all the efforts you have done for these incredible whiteboards..

  • @user-wn6lz3ff9u
    @user-wn6lz3ff9u 7 หลายเดือนก่อน

    Amazing explanation, I really appreciated your countless effort to bring this high quality education for free.

  • @user-gx5pf7tp9i
    @user-gx5pf7tp9i 10 หลายเดือนก่อน +1

    You are the best doctor worldwide

  • @tinkerfae1977
    @tinkerfae1977 ปีที่แล้ว +1

    ❤brilliantly presented lecture, so helpful and easy to follow, thank you guys x❤

  • @user-hx7xz9rt8k
    @user-hx7xz9rt8k ปีที่แล้ว +2

    Yay 🎉🎉 I’ve been waiting for CLL thank you ❤

  • @salam7905
    @salam7905 10 หลายเดือนก่อน

    thank you so much really appreciate all the work you put into these lectures 💐💐💐

  • @elizabethchryst3297
    @elizabethchryst3297 4 หลายเดือนก่อน +2

    I was just diagnosed with CLL. (Feb. 2024) I am not symptomatic yet and will be living near MD Anderson in Texas. Should I consider a clinical trial for CLL? I am relatively young (not yet 65 yrs old) Thank you for all you do! God Bless!

  • @noone00000
    @noone00000 ปีที่แล้ว +2

    Just been diagnosed with CLL so I'm just trying to understand it thank you

  • @naturesoundshome9864
    @naturesoundshome9864 ปีที่แล้ว +5

    Please do us myeloproliferative neoplasms

  • @hone7719
    @hone7719 5 หลายเดือนก่อน +2

    u said "please" so sincerely that i liked the video before watching eyes teared

  • @eras2730
    @eras2730 หลายเดือนก่อน +1

    Best video on CLL ever!

  • @user-wo9dq1gu8o
    @user-wo9dq1gu8o ปีที่แล้ว +1

    Every word will not be enough to thanks you right
    Thanks for every thing that you do here
    Your effort will not ever fogetten ❤

  • @user-ok3cq3fg1e
    @user-ok3cq3fg1e 9 หลายเดือนก่อน +2

    Wonderful incredible outstanding idea of coming up with such TH-cam channel. Millions and probably more than that support your channel and they say between them that it’s helpful even though they don’t comment here. Keep up with this job. Your channel is no. 1 ranked in my opinion.

  • @snowbunny8189
    @snowbunny8189 9 หลายเดือนก่อน +1

    Love this! I'm learning so much.

  • @lilysal8858
    @lilysal8858 ปีที่แล้ว +1

    I really dunno how to thank you, ur such an angel God sent to us , thank u so much for posting ur videos and these amazing info for free, ur amazing bro , love ya ❤!

  • @nataliiaivanova6943
    @nataliiaivanova6943 ปีที่แล้ว +2

    Thank you, so proud of you 👏 🙌

  • @SukhwinderKaur-us6em
    @SukhwinderKaur-us6em 6 หลายเดือนก่อน +2

    Sir u are really a diamond of the medical science ...loves u a lot ....keep supporting us sir we need ur help❤❤❤

  • @rachellehales9442
    @rachellehales9442 7 หลายเดือนก่อน

    love how well you explain these complex concepts! this lecture really helped me with my research paper. keep being amazing! how do you know so much about so much?

  • @fatimasyed9156
    @fatimasyed9156 4 หลายเดือนก่อน

    Amazing content.Basics explained very nicely.

  • @zafarqarizada8173
    @zafarqarizada8173 ปีที่แล้ว +2

    Wow keep uploading thanks 😊

  • @faithfisk2199
    @faithfisk2199 3 หลายเดือนก่อน

    These are great lectures; so helpful

  • @johnlokpar6434
    @johnlokpar6434 11 หลายเดือนก่อน +1

    Good job Prof Zach

  • @user-zv1dm2gy7p
    @user-zv1dm2gy7p 21 วันที่ผ่านมา

    Thank you a lottt! What a great channel.

  • @ethelski1
    @ethelski1 ปีที่แล้ว

    Great info, great teacher🙌

  • @user-oc9pf5de7z
    @user-oc9pf5de7z ปีที่แล้ว

    our great teacher thank you

  • @olydnk5270
    @olydnk5270 2 หลายเดือนก่อน

    Brilliant well presented thank you.

  • @blessingsunday151
    @blessingsunday151 16 วันที่ผ่านมา

    Thank you for this presentation, God bless you 🙏

  • @maureenmonney60
    @maureenmonney60 9 หลายเดือนก่อน

    Thank you! Love your videos.

  • @brendaliz1989
    @brendaliz1989 ปีที่แล้ว

    Thank you for this most informative video!!!

  • @naturesoundshome9864
    @naturesoundshome9864 ปีที่แล้ว +2

    Thank you 😊

  • @funnytube6570
    @funnytube6570 ปีที่แล้ว +2

    Thank You🙌🏽

  • @walaaalbokhaity3390
    @walaaalbokhaity3390 ปีที่แล้ว +1

    Thank you very very much

  • @salama7758
    @salama7758 หลายเดือนก่อน

    You're the best, you helped in pathology

  • @rawanalmansouri
    @rawanalmansouri ปีที่แล้ว +2

    Thank you❤️

  • @AhmedAdel-hx9ce
    @AhmedAdel-hx9ce 3 หลายเดือนก่อน

    Thank you for your hard work ❤❤

  • @user-rn7gp8ms8b
    @user-rn7gp8ms8b ปีที่แล้ว

    thank you for your supporting us please we need explanation about chronic myelogenous leukemia ❤❤❤

  • @araphamvugalo6521
    @araphamvugalo6521 6 หลายเดือนก่อน

    Perfection as always

  • @Roger-hu4tk
    @Roger-hu4tk ปีที่แล้ว +1

    Thank you so much

  • @stefaniagobessi8582
    @stefaniagobessi8582 9 หลายเดือนก่อน +1

    Great overview of CLL! For the pathogenesis: it is true that we are not sure about the origin of the CLL, but scientific community agrees that some mutations on key genes are involved in the genesis of this malignant disease (familial CLL is also occuring in a small % of the population, and investigation is ongoing to try to find the correlation of certain genetic makeup with the CLL appearence). Importantly, we know for sure, based on preclinical studies to which I also contribute to, that the B-cell receptor signaling (BCR) is playing a role in the pathogenesis and progression of CLL.

  • @NomaMPride
    @NomaMPride 2 หลายเดือนก่อน +1

    Thank you for the video really appreciate it, I tried reading Davidson but didn’t understand

  • @user-vj2wt7jh7j
    @user-vj2wt7jh7j 11 หลายเดือนก่อน +6

    I have atypical CLL with multiple paraneoplastic syndromes starting with a massive Pulmonary Embolism with cor pulmonale in 2108 spent a week in the ICU. Most of my paraneoplastic syndromes have been neurologic. I have found that oncologists seem to know very little about paraneoplastic syndromes and just ignore my symptoms. I never get any answers and have to research everything myself. I delt with almost a year of appendicitis level lower abdominal pain with no help or answers. It seemed to be a vascular type pain which fit angioedema in my colon which is occassionaly seen with CLL. I have seen peripheral angiodema in the past and the pain was identical to what my patients complained of. I am trying to figure out how to get oncologists to listen, or find an oncologist who knows atypical CLL.

    • @user-vj2wt7jh7j
      @user-vj2wt7jh7j 8 หลายเดือนก่อน +2

      I am looking for help and get none. I also get no answers, which is very frustrating. I have to research everything myself to get answers. My oncologists don't even try. It is extremely frustrating! I have had to find treatments on my own with no help from oncologists.

  • @ahmedeldimllawi5092
    @ahmedeldimllawi5092 5 หลายเดือนก่อน

    ur awesome, i am a hematology fellow and the ASH SAP is complicated i need someone to simplify it for me so thank you for that really

  • @user-oh5pl2bo2s
    @user-oh5pl2bo2s 4 หลายเดือนก่อน

    thank you very much doctor

  • @KR-jz9xv
    @KR-jz9xv 10 หลายเดือนก่อน

    Amazing! Tyssm Zach

  • @rozanahwirt1311
    @rozanahwirt1311 19 วันที่ผ่านมา +1

    You are brilliant!

  • @hudashah2255
    @hudashah2255 11 หลายเดือนก่อน

    thank you for the video!!

  • @kaytee789
    @kaytee789 ปีที่แล้ว

    Thank you so much 🙏❤

  • @udaykiran8061
    @udaykiran8061 11 หลายเดือนก่อน

    Thank you very much ❤

  • @ab97md
    @ab97md ปีที่แล้ว

    thank you zach

  • @user-pb4pe5qe3y
    @user-pb4pe5qe3y ปีที่แล้ว

    thank you for fabulous lesson. Your lecture is indispensable for me

  • @narjesalbazi7190
    @narjesalbazi7190 หลายเดือนก่อน

    Thank you so much 😊

  • @luckyfat5236
    @luckyfat5236 5 หลายเดือนก่อน +1

    Thank you so much ❤❤❤❤❤❤

  • @acheampongjoshua5781
    @acheampongjoshua5781 ปีที่แล้ว

    am from africa , ghana your videos help me alot

  • @roeeamir7020
    @roeeamir7020 ปีที่แล้ว

    Thank you for the video

  • @Ilovesunrise25
    @Ilovesunrise25 9 หลายเดือนก่อน

    amazing video as always

  • @doctortidbits
    @doctortidbits 5 หลายเดือนก่อน +1

    Maybe i'm wrong but you look under the weather in this video. Hope you are doing well. You are an incredible teacher! God bless you!! Prayers your way!

  • @sllvax448
    @sllvax448 ปีที่แล้ว +1

    THANKS A LOT 🫶🫶🫶🫶🫶

  • @gamingwala2
    @gamingwala2 ปีที่แล้ว

    Please make a video on tissue it's really helpful for me and many other medical students. It's a humble request Zach 🥺

  • @sumayamaxamed3304
    @sumayamaxamed3304 ปีที่แล้ว

    Thanks so much sir

  • @chisulochisanga7809
    @chisulochisanga7809 6 หลายเดือนก่อน

    The best videos on Leukemia's😊

  • @roselily3269
    @roselily3269 ปีที่แล้ว

    Thank you so much Zack you are the best

  • @anabelfulterer2377
    @anabelfulterer2377 3 หลายเดือนก่อน +1

    Thank you for this videoo!

  • @azlanalikhan6043
    @azlanalikhan6043 6 หลายเดือนก่อน

    Please do an overview video on leukemias and lymphomas.

  • @tatianazhiglova5924
    @tatianazhiglova5924 9 หลายเดือนก่อน

    Thank you !

  • @petahayden4412
    @petahayden4412 2 หลายเดือนก่อน

    You are an absolute legend ❤️

  • @mohammadsaad539
    @mohammadsaad539 9 หลายเดือนก่อน

    Thank you so much sir…….

  • @akozrar1330
    @akozrar1330 ปีที่แล้ว

    thanks Dr

  • @mohammedhealing
    @mohammedhealing ปีที่แล้ว

    Thank u ninja You're the best bcz of u I wanna be neurologist ❤

  • @shirleycisneros2948
    @shirleycisneros2948 ปีที่แล้ว +2

    Justo lo que estoy estudiando ahora ❤❤❤

  • @Marta-lh7is
    @Marta-lh7is 6 หลายเดือนก่อน +2

    Your video was really informative, but... chemo is on it's way out for all cll treatment since ibrutinib came on the scene. When was this video made? And no mention of high risk cll subset (p17 del, tp 53 mutation) which renders chemo ineffective.

  • @younusessack9315
    @younusessack9315 10 หลายเดือนก่อน +1

    Brilliant

  • @leonchikumba
    @leonchikumba 3 หลายเดือนก่อน

    Thank you

  • @cathleenpatane6855
    @cathleenpatane6855 8 หลายเดือนก่อน

    Thanks

  • @andreiafn
    @andreiafn 11 หลายเดือนก่อน

    THANK YOU ❤❤

  • @ahutamorris
    @ahutamorris ปีที่แล้ว +3

    Watching from Nairobi, Kenya. Nice video prof, am gaining a lot from you and now it's almost 5yrs since I started your lessons. Ninja Nerd...... please give us certificates 😂😂 and we pay for it.

  • @jovinkomba2908
    @jovinkomba2908 ปีที่แล้ว

    Very Useful Bravooo your soo Good ❤️❤️

  • @mariakara4848
    @mariakara4848 ปีที่แล้ว +1

    谢谢您!🌸

  • @user-cq4tk1kw4s
    @user-cq4tk1kw4s 5 หลายเดือนก่อน

    thank you!

  • @humanbeing3177
    @humanbeing3177 ปีที่แล้ว

    A legend indeed

  • @maggieensley8819
    @maggieensley8819 9 หลายเดือนก่อน +2

    RN here recently diagnosed with CLL/SLL under investigation for large B cell lymphoma, need a FISH study(you didn’t mention)
    Now I know Im Rai 2 symptomatic with the typical B symptoms. Recent 50 lbs weight loss in 6 mths, lots of abdominal symptoms and pain.
    FYI My other presenting initial symptom was thoracic back pain spinal cord compression along with the lymphocytosis . Thats a big problem. Knowledge is power!
    Fantastic lecture Im gonna send it to my GP😂❤Thank you!!

    • @grammyg8x
      @grammyg8x 3 หลายเดือนก่อน

      @maggieensley8819 your story sounds like mine. I have had a weird rash for 1.5 years. It was called psoriasis, but nothing helps. Now it's on my back. Recently got intracellular nutrient test back and shows anemic. I've struggled with fatigue. So, next step is bloodwork. Has anyone experienced rashes? I am in my early 60's.

  • @sophiaiwuoha1496
    @sophiaiwuoha1496 8 หลายเดือนก่อน

    Love you Doc😘

  • @alejacarrasquillo1291
    @alejacarrasquillo1291 5 หลายเดือนก่อน

    LOVE!!! thanks

  • @Z.almagdi
    @Z.almagdi 26 วันที่ผ่านมา

    Commenting to support

  • @obadadabbour2043
    @obadadabbour2043 ปีที่แล้ว

    AMAZING!!!

  • @medstudentdaily2269
    @medstudentdaily2269 6 หลายเดือนก่อน

    شكراً ❤

  • @PureLove1818
    @PureLove1818 8 หลายเดือนก่อน

    I have to watch this 10 more times to get it all down, but my mom was just diagnosed at 74. We meet with her med team tomorrow. Ill have lots of questions for them because of the knowledge in this video. Im armed and ready to fight! (With knowledge) xxoo thank you to the creator of this video.

  • @hadeel1822
    @hadeel1822 2 หลายเดือนก่อน

    I love this man

  • @mercymaeda2237
    @mercymaeda2237 ปีที่แล้ว

    You teach better than my lecturer

  • @avapond5682
    @avapond5682 6 หลายเดือนก่อน

    You said please twice. So here I am.
    and I get to say a big thank you!

  • @CaseyBurnsInvesting
    @CaseyBurnsInvesting 3 หลายเดือนก่อน

    Great videos my friend