NCCN Guidelines for Patients® | Mantle Cell Lymphoma

23 NCCN Guidelines for Patients ® : Mantle Cell Lymphoma, 2017 2 Treatment planning Fertility and pregnancy | Review your vein. Pictures of your heart will be taken with a special camera that can detect the radiation released by the tracer. 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 people 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 a woman of childbearing age, important information on pregnancy is also addressed. Sperm banking Men who want to father 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 and more 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. During treatment, take steps to avoid getting pregnant. Your doctors can tell you which birth control methods are best to use. Review † † Tell your doctor if you have recently had fevers, night sweats, and weight loss without dieting. These can be symptoms of mantle cell lymphoma. † † Your doctor will examine your body for signs of disease. He or she will check if your lymph nodes, liver, or spleen are large. Your doctor will also rate your ability to do everyday activities. † † Blood tests can be done to assess if cancer treatment is needed and for other health conditions. † † Imaging tests allow your doctors to see inside your body without cutting into it. CT, PET/CT, or both is needed. † † Endoscopy or colonoscopy may be done to collect tissue samples from your GI tract in order to confirm local disease and treatment response. † † A bone marrow biopsy removes a piece of bone and marrow to test for cancer cells. An aspirate removes liquid marrow. These tests may be helpful before starting treatment. † † A lumbar puncture may be needed to confirm if the cancer has spread into your 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 now, get a pregnancy test since some cancer treatments can harm unborn babies.