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

22 NCCN Guidelines for Patients ® : Diffuse Large B-cell Lymphoma, 2017 The total number of points is used to assign you to one of four risk groups, which are: † † Low risk includes scores of 0 or 1. † † Low-intermediate risk includes scores of 2 or 3. † † High-intermediate risk includes scores of 4 or 5. † † High risk includes scores of 6 or higher. Heart tests Some cancer treatments can damage your heart. Thus, your doctor may test how well your heart is pumping blood throughout your body. You may receive one of the two tests described next. If your heart isn’t working well, you may receive other treatment. Echocardiogram An echocardiogram uses sound waves (ultrasound) to make pictures. During this test, you will be lying down. Small patches will be placed on your chest to track your heartbeat. Next, a probe with gel on its tip will be slid across part of your bare chest. A picture of your beating heart will be seen at once on a screen. The pictures will be recorded for future viewing. MUGA For a MUGA ( mu lti- g ated a cquisition) scan, patches will be placed on your chest to track your heartbeat. Also, a radiotracer will be injected into your vein. Pictures of your heart will be taken with a special camera that can detect the radiation released by the tracer. Fertility and pregnancy Some cancer treatments can limit your ability to have a baby. If you want the choice of having babies after treatment or are unsure, tell your doctors. It may also help to talk with a fertility specialist before you begin cancer treatment. A fertility specialist is an expert in helping people have babies. The fertility specialist can discuss with you how to have a baby after treatment. Some methods of fertility preservation are discussed next. If you are a woman of childbearing age, important information on pregnancy is also addressed. Sperm banking Men who want to father children after cancer treatment can use sperm banking. Sperm banking stores semen for later use. This is done by freezing semen with sperm in liquid nitrogen. Talk to your treatment team about the costs of and how well sperm banking works. Egg freezing and more Like sperm banking, a woman’s eggs can be removed, frozen, and stored for later use. Your frozen eggs can be fertilized with sperm beforehand. Also, a part of your ovary that contains eggs can be frozen and stored. Pregnancy test Some cancer treatments can harm an unborn baby. Get a pregnancy test before treatment if you may be pregnant now. Your treatment options will depend on the results. During treatment, take steps to avoid getting pregnant. Your doctors can tell you which birth control methods are best to use. 2 Treatment planning Heart tests | Fertility and pregnancy