NCCN Guidelines for Patients® | Mantle Cell Lymphoma

22 NCCN Guidelines for Patients ® : Mantle Cell Lymphoma, 2017 2 Treatment planning Spinal fluid tests | Heart tests Spinal fluid tests Mantle cell lymphoma rarely spreads into the fluid around the brain and spinal cord. This fluid is called cerebrospinal fluid or spinal fluid. It may spread for blastic variant subtype. It may have spread into your spinal fluid if certain symptoms are present. To confirm that cancer is in spinal fluid, a sample must be removed and tested. A lumbar puncture is a procedure that removes spinal fluid. It is also called a spinal tap. A lumbar puncture is advised if you have the blastoid type of mantle cell lymphoma or have symptoms of cancer in your CNS ( c entral n ervous s ystem). Such symptoms include a loss of balance, loss of sensation, muscle weakness, seizures, headaches, and vision changes. During a spinal tap, you will be lying down or sitting on an exam table. If lying down, your knees must be tucked up near your chest. If sitting, you must lean slightly forward and down toward your knees as shown in Figure 9 . The lower part of your back over your spine will be numbed with a local anesthetic. Next, a thin needle will be inserted between the bones of your spine and into the space around your spinal cord. You may feel some pressure during the procedure. The fluid sample will then be sent to a lab for testing. Heart tests Some cancer treatments can damage your heart. Thus, your doctor may test how well your heart works to plan treatment. You may receive one of the two tests described next. If your heart isn’t working well, you may receive other treatment. Echocardiogram An echocardiogram is an imaging test of your heart. It uses sound waves (ultrasound) to make pictures. During this test, you will be lying down. Small patches will be placed on your chest to track your heartbeat. Next, a probe with gel on its tip will be slid across part of your bare chest. A picture of your beating heart will be seen at once on a screen. The pictures will be recorded for future viewing. MUGA A MUGA ( mu lti- g ated a cquisition) scan measures how well your heart is pumping blood. For this test, patches will be placed on your chest to track your heartbeat. Also, a radiotracer will be injected into Figure 9 Lumbar puncture A lumbar puncture is used to remove a sample of spinal fluid so it can be tested for cancer. A lumbar puncture may also be used to inject cancer drugs into spinal fluid. Illustration Copyright © 2017 Nucleus Medical Media, All rights reserved.