NCCN Guidelines for Patients
Hodgkin Lymphoma, Version 1.2015
Follow-up care starts when there are no signs of
cancer after treatment. Care should address your
whole health and well-being. Talk with your doctor
about the care you want and need so you get the best
See a cancer doctor (oncologist) who knows Hodgkin
lymphoma well. He or she will know to check for side
effects that might appear some time after treatment.
Your doctor will also check for if the cancer has re-
appeared and for new cancers. Finding cancer early
can help with getting the best treatment results.
lists follow-up care during the first 5
years after treatment. A medical history and physical
exam are recommended every 3 to 6 months for 1
to 2 years. If results are normal, you may have these
tests every 6 to 12 months during the third year after
treatment. If results are normal during year 3, repeat
these tests once during year 4 and again in year 5.
Blood tests are also recommended. A CBC, ESR,
and blood chemistry profile should be received when
needed. A chemistry profile is like a comprehensive
metabolic panel but with fewer tests. You may also
receive a TSH (
ormone) test at
least once a year if your neck was radiated.
Your doctor may want you to get a CT scan during the
first 12 months after treatment. Scans of your chest
and abdomen and the cancer sites are advised. If
results are normal, repeat CT only when needed. For
example, repeat when blood tests suggest the cancer
may have returned. PET/CT should only be received
if your last test results suggested a poor response to
cancer treatment. Getting PET/CT can confirm that
there are no signs of cancer.
It’s important to take care of other health issues
besides Hodgkin lymphoma. Take steps to prevent or
detect other diseases. Such steps can include getting
immunization shots. You should get the flu shot every
year. Learn how to do a breast self-exam and get a
skin cancer exam.
Likewise, start or keep a healthy lifestyle. Limit your
alcohol use. Quit smoking. Protect yourself from the
sun. Be at a healthy weight. Eat healthfully. Healthy
eating includes eating a balanced diet, eating the right
amount of food, and drinking enough fluids.
Many people benefit from some exercise. Exercise
tones muscles, lowers stress, and improves health.
Exercise programs differ between people based on
their needs. Talk with your treatment team about
which exercises would be best for you.
Fertility problems can appear years after treatment
for Hodgkin lymphoma. If you want to have kids or
are unsure, it is best to see a fertility specialist before
treatment. However, a fertility specialist can still be
helpful if your treatment has ended.
Treatment guide: Nodular lymphocyte-
predominant Hodgkin lymphoma