Staging Systems for Chronic Lymphocytic Leukemia

Modified Rai System

Rai et al, Blood 1975;46:219

Level of riskStageDescription
Low0Lymphocytosis only (blood and marrow)
 ILymphocytosis plus enlarged lymph nodes
IntermediateIILymphocytosis plus enlarged spleen and/or liver, ± lymphocytosis
 IIILymphocytosis plus anemia (Hgb <11 g), ± enlarged nodes,
spleen or liver
HighIVLymphocytosis plus thrombocytopenia (plts < 100K), ± anemia,
enlarged nodes, spleen or liver

Binet System

Binet et al, Cancer 1981;48:198

StageDescription
ALymphocytosis with two or less node-bearing areas enlarged
BLymphocytosis with more than two node-bearing areas enlarged
CAnemia (hemoglobin < 10 g) or thrombocytopenia (plts < 100K)