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65

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

plan.

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.

Chart 5.4.1

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 (

t

hyroid-

s

timulating

h

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.

5

Treatment guide: Nodular lymphocyte-

predominant Hodgkin lymphoma

Follow-up care