Table 4

Poor prognostic factors in CLL

Advanced stage at diagnosis 
Advanced age 
Male sex 
Diffuse pattern of bone marrow infiltration 
Short lymphocyte doubling time 
High expression of Ki67, p27 
High serum levels of β2-microglobulin, thymidine kinase, soluble CD23, and TNFα 
Poor-risk cytogenetics: 17p, 11q deletions, and complex cytogenetic abnormalities 
IgVH unmutated mutational status 
High level of CD38 expression 
High level of ZAP70 expression 
High level of expression of lipoprotein lipase 
Altered microRNA expression 
Poor response to therapy or short duration of response 
Advanced stage at diagnosis 
Advanced age 
Male sex 
Diffuse pattern of bone marrow infiltration 
Short lymphocyte doubling time 
High expression of Ki67, p27 
High serum levels of β2-microglobulin, thymidine kinase, soluble CD23, and TNFα 
Poor-risk cytogenetics: 17p, 11q deletions, and complex cytogenetic abnormalities 
IgVH unmutated mutational status 
High level of CD38 expression 
High level of ZAP70 expression 
High level of expression of lipoprotein lipase 
Altered microRNA expression 
Poor response to therapy or short duration of response 

TNFα indicates tumor necrosis factor α.

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