NCCN Guidelines for Patients® | Diffuse Large B-cell Lymphoma

15 NCCN Guidelines for Patients ® : Diffuse Large B-cell Lymphoma, 2017 Doctors plan treatment with many sources of information. One of these sources is tests of your health and the cancer. Part 2 describes who should receive which tests before treatment. Some of these tests are repeated during and after treatment. Besides tests, Part 2 describes other types of care that are important to receive before cancer treatment. Medical history Your medical history includes any health events and medicines you’ve taken in your life. You will be asked about illnesses, injuries, health conditions, and more. It may help to make a list of old and new medications while at home to bring to your doctor’s office. Symptoms are a part of your medical history. Some symptoms of DLBCL are tiredness and a feeling of fullness in your belly. This cancer may also cause “B symptoms.” It’s important that your doctor knows if you have them. These symptoms include fevers, chills, night sweats, and weight loss without dieting. Some cancers and other health conditions can run in families. Thus, your doctor will ask about the medical history of your blood relatives. Your doctor may ask about the health of your siblings, your parents and their siblings, and your grandparents and their siblings. Be prepared to tell who in your family has had what diseases and at what ages. A medical history is one of the tests needed for treatment planning. See Guide 1 for a complete list of care that is recommended prior to treatment. Some types of care are for anyone with DLBCL while others may be useful for some people. Guide 1. Health care before cancer treatment Must haves Sometimes useful Medical history Beta-2 microglobulin Physical exam HIV testing CBC with differential Head and neck CT or MRI Comprehensive metabolic panel Endosccopy or colonoscopy Lactate dehydrogenase Lumbar puncture in some cases Uric acid Fertility support Hepatitis B testing Whole-body PET/CT ± diagnostic CT Bone marrow biopsy ± aspiration Echocardiogram or MUGA if you will receive certain types of chemotherapy Pregnancy test if you can have babies 2 Treatment planning Medical history