“…The role of splenectomy in HCL after IFN treatment was introduced is still a matter of debate. Several groups have reported a slower and somewhat inferior response to IFN treatment in non-splenectomized compared to splenectomized patients (y162, 166), and there is evidence for HC remaining in the spleen after clearance from other sites (196). As a high number of patients respond with long-lasting partial remissions after splenectomy (10,158), it has, therefore, been proposed to splenectomize some, or maybe even all, HCL patients either before or after IFN therapy (197).…”