NCCN Quick Guide™ | Chronic Lymphocytic Leukemia

1 of 2 NCCN QUICK GUIDE tm Chronic Lymphocytic Leukemia, 2018 This NCCNQUICK GUIDE tm sheet summarizes key points from the complete NCCN Guidelines for Patients ® : Chronic Lymphocytic Leukemia . These guidelines explain which tests and treatments are recommended by experts in cancer. To view and download the guidelines, visit NCC N.or g/patients or, to order printed copies, visit What is CLL (chronic lymphocytic leukemia)? Leukemias are cancers of white blood cells and start in bone marrow and blood. CLL ( c hronic l ymphocytic l eukemia) is one type of leukemia that starts in lymphocytes called B-cells. 9 Do I have CLL? Your blood cells must be tested. Large numbers of abnormal B-cells are a defining feature of CLL. Doctors also look for a common pattern of proteins on the surface of B-cells that are a “signature” for CLL. 12 What health care might I need before treatment? „ „ A medical history that includes questions about symptoms of CLL and other disease. 15 „ „ An exam of your body to look for signs of disease and to rate your ability to do activities. „ „ Blood tests to assess for proteins on the cells’ surface, blood cell counts, viruses, and the levels of chemicals in blood. 17 „ „ A test of your bone or marrow is sometimes needed to learn the cause of low blood cell counts. 21 „ „ Imaging tests to check where the cancer is located in your body. 20 „ „ Heart test to check if you’re healthy enough for some treatments. 22 „ „ Talk to a fertility specialist if you may want to have babies after treatment. „ „ A pregnancy test if you can have babies since some treatment can harm unborn babies. Do I need treatment right now? Not all people with CLL need to start treatment right away. Treatment is often started when the cancer has grown enough to cause symptoms like severe fatigue, night sweats, or unplanned weight loss. 23 NCCN Guidelines for Patients ® Page Number Ü NCCN GUIDELINES FOR PATIENTS ® NCCN QUICK GUIDE tm Chronic Lymphocytic Leukemia 2018