NCCN Guidelines for Patients® | Mantle Cell Lymphoma

20 NCCN Guidelines for Patients ® : Mantle Cell Lymphoma, 2019 2  Treatment planning Fertility and pregnancy | Review 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 men and women 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 of childbearing age, important information on pregnancy is also addressed. Sperm banking Men who want to have 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 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. Birth control During treatment, take steps to avoid getting pregnant. Your doctors can tell you which birth control methods are best to use. Review † † Your doctor will ask you about any health problems and treatments you’ve had in your lifetime. Tell your doctor if you have recently had fevers, night sweats, and weight loss without dieting. These can be symptoms of MCL. † † Your doctor will study your body to assess your health. He or she will check the size of your lymph nodes and organs. Your doctor will also rate your ability to do everyday activities. † † Blood tests will be done to look for signs of a fast-growing cancer and other health problems. † † Testing for hepatitis B or C may be needed in order to safely receive strong cancer treatments. † † Imaging tests allow your doctors to see inside your body without cutting into it. CT, whole-body PET/CT, or both are needed. Contrast should be used with CT. † † Cancer tests on bone marrow are needed. Cancer tests may also be done on tissue from your GI tract and 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, get a pregnancy test now. Some cancer treatments can harm unborn babies.