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15

NCCN Guidelines for Patients

®

Peripheral T-cell Lymphoma, Version 1.2016

2

Treatment planning

Physical exam

Physical exam

Doctors often give a physical exam along with taking

a medical history. A physical exam is a study of your

body for signs of disease. During this exam, your

doctor will listen to your lungs, heart, and gut. Parts

of your body will likely be felt to see if organs are of

normal size, are soft or hard, or cause pain when

touched.

For peripheral T-cell lymphoma, there are certain

parts of your body that should be checked. You

should have a full skin exam. Peripheral T-cell

lymphoma is often found in lymph nodes, so areas

with lots of lymph nodes should be examined. High

numbers of lymph nodes exist in the middle of your

chest, neck, throat, armpit, groin, pelvis, and along

your gut. The size of your spleen and liver should also

be assessed. The upper part of your throat that is

behind your nose should also be assessed for signs

of cancer.

Results of your medical history and physical exam

will be used to rate your performance status.

Performance status is your ability to do daily

activities. It is used by doctors to assess if you can

undergo certain treatments. The ECOG (

E

astern

C

ooperative

O

ncology

G

roup) Performance Scale is

a common scoring scale for performance status. This

scale consists of scores from 0 to 4. Lower scores

mean you can do more activities.

Chart 2.1 Care before treatment

Must haves

Sometimes useful

• Medical history

• HIV testing

• Physical exam

• Neck CT

• Complete blood count with differential

• Head CT or MRI

• Comprehensive metabolic panel

• Skin biopsy

• Lactate dehydrogenase

• Fertility support

• Uric acid

• Diagnostic CT, PET/CT, or both

• Bone marrow biopsy

• International Prognostic Index

• Echocardiogram or MUGA

• Pregnancy test if you can have babies