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NCCN Guidelines for Patients


Adolescents and Young Adults with Cancer, Version 1.2017

Getting back to a normal routine

after treatment takes time.

Part 8 gives you information on going from

treatment to survivorship care. Life can

change, but it is good to prepare for your

next steps and focus on your health.

Finishing treatment is a major milestone in your

cancer journey. It's a time to say goodbye to the

cycle of treatments and get back to normal or make

a new routine. But the “normal” of post-treatment life

may not be the same as life before your diagnosis.

Things can change, so it's helpful to find a routine that

works for you.

Some people have described survivorship as “being

disease free, but not free of disease.” As a cancer

survivor, you have a new perspective, new worries,

and new strengths that will influence every day of

your life. Adjusting to this “new normal” isn’t always

easy. Preparation and planning can help you make

the most of this next phase of the journey.

You will hear the term cancer survivor, a lot during

your journey. This section refers to the time after

treatment. In this phase you will be in follow-up care.

This care centers on checking your health at certain

time points like months or years after treatment.

These time points can be found in the NCCN clinical

guidelines for the treatment of specific cancers at


What happens after treatment?

During treatment, your treatment team, family, and

friends were likely a main source of information and

support. You’ll still need many of these supports as

you continue along the road of cancer survivorship.

After months of spending a lot of time with various

medical people, you may want to take a break from

doctors’ visits. That is understandable, but regular

follow-up is critical to protecting your long-term health.

Your doctor will probably want to check for a cancer

recurrence and other medical problems every 1–3

months for the first year or so. If all goes well, it may

change to once a year.


Moving beyond


66 What happens after treatment?

68 What is a survivorship care plan?

71 Will the cancer come back?

72 Review