NCCN Guidelines for Patients® | Chronic Lymphocytic Leukemia

20 NCCN Guidelines for Patients ® : Chronic Lymphocytic Leukemia, 2019 2  Treatment planning Review Review † † Your doctor will ask you about any health problems and treatment in your lifetime. Tell your doctor if you have recently had fevers, night sweats, and weight loss without dieting. These can be symptoms of CLL. † † Your doctor will study your body to assess your health. He or she will check the size of your liver and spleen. Your doctor will also rate your ability to do everyday activities. † † Blood tests can be done to assess the outlook of CLL and for other health conditions. † † Genetic tests assess for abnormal changes in chromosomes and genes. Results can help your doctor plan treatment. † † A bone marrow biopsy removes a piece of bone and marrow to test for cancer cells. An aspiration removes liquid marrow. These tests may be helpful before starting treatment. † † Testing for hepatitis B may be done since it can become active again. † † Imaging tests allow your doctors to see inside your body without cutting into it. CT and PET/ CT scans may be useful in certain cases. † † You may undergo heart tests to see if you are healthy enough to have certain cancer treatments. † † Talk to a fertility specialist to learn about ways to have babies after cancer treatment. If you may be pregnant, get a pregnancy test now. Some cancer treatments can harm unborn babies. † † You may not need to start treatment for CLL right away. Treatment is started based on the signs and symptoms of CLL, test results, and the cancer stage. It is essential to have a doctor that you trust implicity, and who knows that you are the ultimate decision- maker in your treatment regimen. If you can’t advocate for yourself, ask a family member or friend for help.” – Dixie Leukemia survivor “