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

23 NCCN Guidelines for Patients ® : Diffuse Large B-cell Lymphoma, 2017 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 DLBCL. † † Your doctor will examine your body for signs of disease. He or she will check if your lymph nodes, liver, or spleen are large. Your doctor will also rate your ability to do everyday activities. † † Blood tests can be done to assess if cancer treatment is needed and for other health conditions. † † Imaging tests allow your doctors to see inside your body without cutting into it. PET/CT with or without diagnostic CT is needed. Head and neck CT or MRI may be received. † † A bone marrow biopsy removes a piece of bone and marrow to test for cancer cells. An aspirate removes liquid marrow. These tests may be helpful before starting treatment. † † A lumbar puncture may be needed to confirm if the cancer has spread into your spinal fluid. † † 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.