NCCN Guidelines for Patients® | Mantle Cell Lymphoma

21 NCCN Guidelines for Patients ® : Mantle Cell Lymphoma, 2017 2 Treatment planning Bone marrow exam Bone marrow exam Mantle cell lymphoma is often but not always found in bone marrow at diagnosis. Thus, a bone marrow exam is advised. This exam will confirm if there is cancer or not. 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 8 . 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 8 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. My initial symptom was an enlarged spleen. A bone marrow biopsy determined I had mantle cell lymphoma It is a good thing my primary care doctor found the enlarged spleen because I did not have any of the usual symptoms. – Scott Survivor, Diagnosed at age 54 “