WBC ... 13.6
Lymphs 74
ALC 9.8
Neutrophils 21
CD38 negative
ZAP70 positive>20
13q deletion
B2M. 2.8
Had small area of swollen lymphs on diagnosis on left side of neck
Now have about a 4 inch area of swollen lymphs on left side, and have developed about a 2-3 inch area on right side of neck

I'm currently in watch and wait. Should there be concern for starting treatment?