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13
WHAT THE C?!? /// CHAPTER 10
It can be easier to deal with tests if you
understand why they are being done and
exactly what they will involve. Knowing what
to expect can sometimes help you to feel less
afraid.
Tests
Here are some of the most common tests you may hear about
(if you haven't already):
» Biopsy
A biopsy is a surgical procedure used to determine
whether a tumor is benign or cancerous. In this test, a
small piece of tissue is removed from the tumor and
examined under a microscope to check for the presence
of cancer cells. The tissue is examined by a pathologist
(someone who is expert in identifying the changes in
body tissue caused by disease). This microscopic study
of tissue confirms or rules out a diagnosis of cancer.
» Bone Marrow Aspirate and Biopsy
You will need to have an examination of your bone
marrow is you have a cancer of the blood cells (a
leukemia and most lymphomas) or if there is a
possibility your cancer has spread (metastasized) to
your bone marrow.
What is bone marrow?
The bone marrow is a type of soft tissue inside some of
your larger bones, which produces red and white blood
cells and platelets. By examining a small amount of your
bone marrow, usually taken from your hip bone in an area
called the iliac crest, your doctors can make important
decisions about your care.
How does it all work?
First of all, you'll probably receive some medication to
sedate you (put you to sleep). Some common drugs
used are fentanyl and propofol (wonderful white stuff)
and these will be administered by a doctor called an
anesthetist.
Then, you'll have to lie face-down on an examining table.
A small blanket or towel may be placed under your
hips to raise them. If you receive sedation medicine,
you'll soon be off to sleep, and you won't feel any of the
procedure. Some people really like the feeling they get
from propofol, as it makes all things very dreamy and
relaxing, but it can make you feel a bit washed out for a
few days afterwards.
After you're asleep, the biopsy area is cleansed, and a
local anesthetic is injected to numb the skin. If you're
not sedated, you will feel the prick of the needle and the
Procedures
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What Do I Do Now?

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