NCCN Guidelines for Patients® | Mantle Cell Lymphoma

16 NCCN Guidelines for Patients ® : Mantle Cell Lymphoma, 2019 2  Treatment planning Medical history Your doctors want to learn all about the type of lymphoma you have. This chapter describes who should receive which tests before cancer treatment. It also describes other types of care needed before treatment. Doctors plan treatment using many sources of information. These sources include the health care listed in Guide 1 . Another source is you. Tell your doctor your concerns and goals for treatment. Together, you can share in the decision-making process. Read Part 4 to learn more about making treatment decisions. Medical history Your doctor will ask about any health problems and their treatment during your lifetime. Be prepared to tell what illnesses, injuries, and health conditions you have had. It may help to bring a list of old and new medicines to your doctor’s office. Symptoms are a part of your medical history. Some symptoms of MCL are tiredness, a feeling of fullness in your belly, and getting sick. 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 close blood relatives. Such family includes your siblings, parents, and grandparents. Be prepared to tell who has had what diseases and at what ages. Guide 1. Health care before cancer treatment Must haves • Medical history • Physical exam with performance status • CBC with differential • Comprehensive metabolic panel • LDH • Hepatitis B tests • Diagnostic CT with contrast, whole-body PET/CT, or both • Bone marrow biopsy ± aspiration • Echocardiogram or MUGA scan if certain chemotherapy is planned • Pregnancy test if you can have babies Sometimes useful • Uric acid • Beta-2 microglobulin • Hepatitis C tests • Endoscopy and colonoscopy • Lumbar puncture • Fertility support if wanted