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FL: Reasons to initiate treatment

B-symptoms

Hematopoietic failure

(Hb<11g/dl, granulocytes <1.500/µl, platelets <100.000 /µl)

Large tumor burden

(3 areas >5 cm or 1 area >7.5 cm)

Rapid progression

(increase of tumor mass >50% within 6 months)

Complications due to disease

(pain, infarction of spleen, hyperviscosity syndrome, etc.)

No role for FLIPI, LDH, B2M, age, stage, or bone marrow involvement