NCCN Guidelines for Patients
Hodgkin Lymphoma, Version 1.2015
Heart and lung tests
Some cancer treatments can damage your heart
and lungs. Thus, your doctors will test how well your
heart and lungs work to plan treatment. If they aren’t
working well, you may receive other treatment.
An echocardiogram is an imaging test of your heart.
It uses sound waves (ultrasound) to make pictures.
During this test, you will be lying down. Small patches
will be placed on your chest to track your heartbeat.
Next, a probe with gel on its tip will be slid across part
of your bare chest. A picture of your beating heart
will be seen at once on a screen. The pictures will be
recorded for future viewing.
An echocardiogram shows how much blood is
pumped out of the left side of your heart. The amount
of pumped blood is called the ejection fraction. It
is a measure of heart failure. A normal amount of
pumped blood is between 55 and 70 percent. High or
low ejection fraction may prevent you from receiving
some types of chemotherapy.
Pulmonary function tests
Pulmonary function tests reveal how well your lungs
work. Three tests are often used. A common side
effect of these tests is shortness of breath.
• Spirometry involves blowing into a tube to
measure how much air and how fast you
• A gas diffusion test involves breathing in a
harmless gas and measuring how much you
breathe out. It tells how much oxygen travels
from your lungs into your blood.
• Body plethysmograph involves sitting in a
small room and breathing into a tube. This test
measures how much air your lungs can hold
and how much air is left in your lungs after
Your spleen is part of your lymphatic system. Your
chances of getting an infection are high if your spleen
is treated with radiation. In this case, get vaccinated
before treatment for H-flu (
pneumococcal, and meningococcal infections. H-flu
does not cause the common flu. It causes other
diseases like bacterial meningitis. Not all vaccines
are safe for people with cancer. Talk with your doctor
about other vaccinations before getting them.
Heart and lung tests | Vaccines