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Daniel Ermann

Daniel Ermann

Hematologist/oncologist and Associate Professor at Huntsman Cancer Institute, University of Utah, specializing in chronic lymphocytic leukemia (CLL) and lymphoma.

Sep 7, 2026

13:08
This is a patient from Dr. Ehrman, and here's the case.
13:12
He had some of the most extensive lymphadenopathy I'd ever seen in a patient, above and below the diaphragm.
13:18
He had absolutely no B symptoms, no weight loss, but had a packed marrow greater than 95% involvement.
13:25
And he had more of the SLL phenotype with a white blood cell count of 15, hemoglobin 14, platelets of 170,000.
13:33
So he had the bulky lymphadenopathy.
13:35
Now, I did a PET scan to rule out Richter's as well.
13:39
And he had very bulky lymph nodes, but all the SUVs were low and I was not concerned for Richter's.
14:22
fantastic response.
13:08
This is a patient from Dr. Ehrman, and here's the case.
13:12
He had some of the most extensive lymphadenopathy I'd ever seen in a patient, above and below the diaphragm.
13:18
He had absolutely no B symptoms, no weight loss, but had a packed marrow greater than 95% involvement.
13:25
And he had more of the SLL phenotype with a white blood cell count of 15, hemoglobin 14, platelets of 170,000.
13:33
So he had the bulky lymphadenopathy.
13:35
Now, I did a PET scan to rule out Richter's as well.
13:39
And he had very bulky lymph nodes, but all the SUVs were low and I was not concerned for Richter's.
14:21
clinically had a fantastic response.
13:08
This is a patient from Dr. Ehrman, and here's the case.
13:12
He had some of the most extensive lymphadenopathy I'd ever seen in a patient, above and below the diaphragm.
13:18
He had absolutely no B symptoms, no weight loss, but had a packed marrow greater than 95% involvement.
13:25
And he had more of the SLL phenotype with a white blood cell count of 15, hemoglobin 14, platelets of 170,000.
13:33
So he had the bulky lymphadenopathy.
13:35
Now, I did a PET scan to rule out Richter's as well.
13:39
And he had very bulky lymph nodes, but all the SUVs were low and I was not concerned for Richter's.
14:21
clinically had a fantastic response.
0:52
We begin with Dr. Irmen, who has a young patient who elected to participate in a clinical trial of upfront management of CLL.
1:00
This was a forty-four-year-old man.
1:02
He presented initially and diagnosed in two thousand twenty-one.
1:06
He was Rai stage one and was found to have progressive cervical lymphadenopathy.
1:10
His CLL was IGHV mutated with trisomy twelve, deletion thirteen Q complex karyotype.
1:17
So he actually had...
1:18
His complex karyotype actually fit with one of the few more favorable prognostic factors given he had a trisomy nineteen.
0:52
We begin with Dr. Urman, who has a young patient who elected to participate in a clinical trial of upfront management of CLL.
1:01
This was a forty-four-year-old man.
1:02
He presented initially and diagnosed in two thousand twenty-one.
1:06
He was Rai stage one and was found to have progressive cervical lymphadenopathy.
1:10
His CLL was IGHV mutated with trisomy twelve, deletion thirteen Q complex karyotype.
1:17
So he actually had his complex karyotype actually fit with one of the few more favorable prognostic factors given he had a trisomy nineteen.
1:25
But regardless, he eventually did develop progressive fatigue, anemia, and worsening lymphadenopathy, unintentional weight loss, meeting treatment criteria.

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