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Rai Staging System

According to the Rai Staging System, there are five stages of chronic lymphocytic leukemia based on the degree of lymphocytosis, hemoglobin level, platelets level, the presence of splenomegaly, and the presence of lymphadenopathy.[1]

Stage Hemoglobin Level Platelets Level Lymphocytosis Splenomegaly Lymphadenopathy

Stage 0

>11 g/dL

>100,000/L

Present

Absent

Absent

Stage 1

>11 g/dL

>100,000/L

Present

Absent

Present

Stage 2

>11 g/dL

>100,000/L

Present

Present

Present or absent

Stage 3

<11 g/dL

>100,000/L

Present

Present or absent

Present or absent

Stage 4

<11 g/dL or >11g/dL

<100,000/L

Present

Present or absent

Present or absent

  1. Rai KR, Sawitsky A, Cronkite EP, Chanana AD, Levy RN, Pasternack BS (1975). "Clinical staging of chronic lymphocytic leukemia". Blood. 46 (2): 219–34. PMID 1139039.