Chronic Lymphocytic Leukemia
New Approaches for a Common Disease
MBL: Prevalence and Progression

October 2008
Various studies have now shown that MBL is a common disorder with up to 3.5% of the normal population having an identifiable clonal population with the CLL phenotype. It is also important to note that the prevalence of MBL appears to increase with age, going from a 2.1% incident rate in people between 40 and 60 years old up to an incident rate of almost 8% in those folks over the age of 70. Low-risk genetic factors such as mutated IgVH and 13q- are frequently identified. The progression rate of MBL to CLL is uncertain and remains to be defined. Studies by Rostern and colleagues have shown that 1-3% of MBLs defined via population studies will progress to CLL, whereas studies done here at the Mayo Clinic have shown that 40% of MBLs identified through routine clinical practice, i.e., identification and evaluation of cases with lymphocytosis will progress to CLL within one year.
Prevalence and Progression |
Jump to section:
- Introduction
- Goals Today
- CLL, MBL, and SLL Overview
- CLL: Evolution of Diagnostic Criteria
- Chronic B-Cell Lymphoproliferative Disorders: Prototypic Immunophenotype
- CLL: Dim sIg, dim CD20, CD5+ & CD23+
- "Copycat": MCL with CD5+/partial CD23+
- "Copycat": LPL with CD5+/CD23-
- Diagnosis of MBL & SLL: IWCLL
- Diagnostic Criteria: CLL, MBL, and SLL
- Diagnostic Criteria: CLL, MBL, and SLL
- Identification of MBL
- How will MBL be Recognized in Routine Clinical Practice?
- How is MBL Recognized in Routine Clinical Practice?
- Diagnostic Criteria: MBL in Clinical Practice
- MBL: Prevalence and Progression
- MBL: Summary
- Familial CLL
- MBL Case: Clinical History
- MBL Case: Peripheral Blood Immunophenotype
- MBL Case: Bone Marrow Biopsy
- Diagnosis Diagram
- CLL and Minimal Residual Disease (MRD)
- CLL and Minimal Residual Disease (MRD)
- CLL and Minimal Residual Disease (MRD)
- CLL MRD Case: Clinical History
- CLL MRD Case: Clinical History
- CLL MRD Case: Bone Marrow Biopsy
- CLL MRD Case: Bone Marrow Biopsy
- CLL MRD Case: PB Flow
- CLL MRD Case: BM Flow
- Goals Today
- Questions?


