NCCN Guidelines for Patients® | Follicular Lymphoma Grade 1-2

20 NCCN Guidelines for Patients ® : Follicular Lymphoma, Grade 1–2, 2017 2 Treatment planning Bone marrow exam with one or two machines depending on the cancer center. For PET, a sugar radiotracer will be injected into your body. The radiotracer is detected with a special camera. Cancer cells appear brighter than normal cells because they use sugar more quickly. PET/CT may be done with one or two machines depending on the cancer center. Whole-body PET/CT may be given in addition to or instead of CT. It can show the presence of cancer when other tests do not. PET/CT is an essential test if you will be treated with radiation for stage I or II cancer. Your doctor will want to be sure that the cancer is not widespread. PET/CT is also used to assess if treatment is working. Bone marrow exam A bone marrow exam can be very helpful. It isn’t needed to diagnose follicular lymphoma. However, your doctor may order it to confirm there’s cancer when it hasn’t spread much. A bone marrow exam consists of two procedures. A bone marrow aspiration removes a small amount of liquid bone marrow. A bone marrow biopsy removes a sample of bone and soft bone marrow. Often, these procedures are done at the same time. They are performed on the back of hip bone. You may receive a light sedative beforehand. You will likely lie on your side as shown in Figure 6 . Some people lie on their belly. Your doctor will first clean and numb your skin. For aspiration, a hollow needle will be inserted into your skin and pushed into the bone. Liquid bone marrow will then be drawn into a syringe. For the biopsy, a wider needle will be inserted into your bone and rotated to remove a core sample. The samples will be sent to a lab for testing. You may feel bone pain during and after the procedures for a few days. Your skin may bruise. Figure 6 Bone marrow exam A bone marrow exam removes a sample of bone and marrow for testing. The procedure is often done on the back of the hip. Illustration Copyright © 2017 Nucleus Medical Media, All rights reserved. www.nucleusinc.com

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