NCCN Guidelines for Patients® | Chronic Lymphocytic Leukemia

24 NCCN Guidelines for Patients ® : Chronic Lymphocytic Leukemia, 2018 2 Treatment planning Review Review † † 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 examine your body for signs of disease. 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 prognosis of CLL and for other health conditions. † † 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. † † 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. † † 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 now, get a pregnancy test since some cancer treatments can harm unborn babies. † † You may not need to start treatment for CLL right away. Your doctors will decide whether to advise starting treatment based on the signs and symptoms of CLL, test results, and the cancer stage.