Rai staging system for chronic lymphoid leukemia

Changed by Aditya Shetty, 29 Sep 2014

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The Rai staging system is one of the two staging systems currently adopted in assesmentassessment of chronic lymphocytic leukaemia (CLL).

It comprises of stages 0 to IV and classifies chronic lymphocytic leukemia into low, intermediate and high-risk categories, which correspond with stages 0, I & II, and III & IV, respectively:

  • Rai stage 0:
    • low risk 
    • lymphocytosis: a high lymphocyte count defined as more than 15,000 lymphocytes per cubic millimeter (> 15,000 / mm/mm3).
  • Rai stage I: :
  • Rai stage II: :
    • patients are also intermediate risk 
    • lymphocytosis plus an enlarged liver (hepatomegaly) or enlarged spleen (splenomegaly), with or without lymphadenopathy.
  • Rai stage III: :
    • patients are high-risk 
    • lymphocytosis plus anaemia with or without lymphadenopathy, hepatomegaly, or splenomegaly.
  • Rai stage IV: :
    • high-risk 
    • lymphocytosis + thrombocytopenia (< 100 - 103-103 /dL).

See also

  • -<p>The <strong>Rai staging system</strong> is one of the two staging systems currently adopted in assesment of <a href="/articles/chronic-lymphocytic-leukaemia" title="chronic lymphocytic leukaemia ">chronic lymphocytic leukaemia </a>(<a href="/articles/cll" title="CLL">CLL</a>). </p><p>It comprises of stages 0 to IV and classifies chronic lymphocytic leukemia into low, intermediate and high-risk categories, which correspond with stages 0, I &amp; II, and III &amp; IV, respectively : </p><ul>
  • +<p>The <strong>Rai staging system</strong> is one of the two staging systems currently adopted in assessment of <a href="/articles/chronic-lymphocytic-leukaemia">chronic lymphocytic leukaemia </a>(<a href="/articles/cll">CLL</a>).</p><p>It comprises of stages 0 to IV and classifies chronic lymphocytic leukemia into low, intermediate and high-risk categories, which correspond with stages 0, I &amp; II, and III &amp; IV, respectively:</p><ul>
  • -<strong>Rai stage 0</strong> : 
  • -<ul>
  • +<strong>Rai stage 0:</strong><ul>
  • -<a href="/articles/lymphocytosis" title="lymphocytosis">lymphocytosis</a> : a high lymphocyte count defined as more than 15,000 lymphocytes per cubic millimeter (&gt; 15,000 / mm<sup>3</sup>). </li>
  • +<a href="/articles/lymphocytosis">lymphocytosis</a>: a high lymphocyte count defined as more than 15,000 lymphocytes per cubic millimeter (&gt; 15,000/mm<sup>3</sup>)</li>
  • -<strong>Rai stage I</strong> :
  • -<ul>
  • +<strong>Rai stage I:</strong><ul>
  • -<li>lymphocytosis + <a href="/articles/lymph-node-enlargement" title="Lymphadenopathy">lymphadenopathy</a>. </li>
  • +<li>lymphocytosis + <a href="/articles/lymph-node-enlargement">lymphadenopathy</a>.</li>
  • -<strong>Rai stage II</strong> :
  • -<ul>
  • +<strong>Rai stage II:</strong><ul>
  • -<li>lymphocytosis plus an <strong>enlarged liver</strong> (<a href="/articles/hepatomegaly" title="Hepatomegaly">hepatomegaly</a>) or <strong>enlarged spleen</strong> (<a href="/articles/splenomegaly" title="Splenomegaly">splenomegaly</a>), with or without lymphadenopathy.</li>
  • +<li>lymphocytosis plus an enlarged liver (<a href="/articles/hepatomegaly">hepatomegaly</a>) or enlarged spleen (<a href="/articles/splenomegaly">splenomegaly</a>), with or without lymphadenopathy</li>
  • -<strong>Rai stage III</strong> :
  • -<ul>
  • +<strong>Rai stage III:</strong><ul>
  • -<li>lymphocytosis plus <strong>anaemia</strong> with or without lymphadenopathy, hepatomegaly, or splenomegaly. </li>
  • +<li>lymphocytosis plus anaemia with or without lymphadenopathy, hepatomegaly, or splenomegaly</li>
  • -<strong>Rai stage IV</strong> :
  • -<ul>
  • +<strong>Rai stage IV:</strong><ul>
  • -<li>lymphocytosis + <strong>thrombocytopenia</strong> (&lt; 100 - 103 /dL). </li>
  • +<li>lymphocytosis + thrombocytopenia (&lt; 100-103 /dL)</li>
  • -</ul><h4>See also</h4><ul><li><a href="/articles/binet-staging-system-for-chronic-lymphocytic-leukaemia" title="Binet staging for CLL">Binet staging system of chronic lymphoid leukaemia</a></li></ul>
  • +</ul><h4>See also</h4><ul><li><a href="/articles/binet-staging-system-for-chronic-lymphocytic-leukaemia">Binet staging system of chronic lymphoid leukaemia</a></li></ul>

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