NCCN Guidelines for Patients® | Mantle Cell Lymphoma

20 NCCN Guidelines for Patients ® : Mantle Cell Lymphoma, 2017 2 Treatment planning Scopes Scopes It is common for mantle cell lymphoma to spread to the GI tract. Endoscopy and colonoscopy are procedures during which a “scope” is inserted into the GI tract. The scope is used to remove tissue that will be tested for cancer. Testing for cancer in your GI tract may not be needed. It may not be needed if your treatment options wouldn’t be affected. NCCN experts do advise GI testing to confirm there’s only local disease. A second scope will be done to assess how well treatment worked for local disease. Endoscopy An endoscopy allows your doctor to see the insides of your esophagus and stomach. It is done with an endoscope. An endoscope has a thin, long tube that will be guided into your body, often through the mouth. At the end of the tube is a very small light, camera lens, and cutting tool. At the other end of the endoscope is an eyepiece. Your doctor will look through it to see the images shown by the camera. You will likely be sedated during the exam, but sometimes general anesthesia is used. Air may be pumped into your esophagus and stomach for better viewing. After the exam, your throat may feel sore and you may feel bloated from the air. Colonoscopy A colonoscopy allows your doctor to see inside your colon. It is done with a colonoscope, which looks and works much like an endoscope. You will be asked to wear a hospital gown and lie on your side during the exam as shown in Figure 7 . The colonoscope will be inserted into your anus and gently guided through your intestine. Air may be pumped into your intestine to make it bigger for better viewing. You may be asked to shift a little during the test to help your doctor guide the colonoscope. The picture from the colonoscope will be viewed by your doctor on a screen. To prepare for this test, your doctor may place you on a liquid diet for 1 to 3 days. You may also be given a laxative or an enema to clean out your intestine the night before the test. Right before the test, you may be given a sedative. The day after the test, you are likely to feel normal. If you have severe pain, bloody stools, or weakness, contact your doctor. Figure 7 Colonoscopy Tissue samples from your GI tract may be removed to test for cancer. The tissue samples from your colon may be removed during a procedure called a colonoscopy as shown below. An endoscopy is a procedure that removes tissue samples from the upper GI tract, which includes your esophagus and stomach. Illustration Copyright © 2017 Nucleus Medical Media, All rights reserved.