MRCP2-2469

MRCP2-2469

A 67-year-old woman presents at the outpatient clinic for a follow-up on her chronic lymphocytic leukemia (CLL) diagnosis, which she has had for six months. She reports having three chest infections in the past year but is otherwise in good health. Her test results show a white cell count of 30.2 ×109/L (4-11), lymphocytes of 26.2 ×109/L (1.5-4), and a serum electrophoresis that indicates low levels of IgA and IgM. Her hemoglobin and platelet count are within normal ranges. What is the most appropriate management option for this patient?