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67

NCCN Guidelines for Patients

®

Hodgkin Lymphoma, Version 1.2015

Chart 5.4.2

l

ists follow-up care starting 6 years

after treatment has ended. Some of the tests are the

same as before. Healthy living, flu shots, and fertility

counseling are also still included.

Heart (cardiovascular) disease is more likely as

time passes. Thus, your blood lipids (includes fat)

should be measured twice a year and your blood

pressure, yearly. Your doctor may decide a stress

test or echocardiogram would be helpful. These tests

may be done every 10 years. Likewise, a carotid

ultrasound may be helpful if your neck was radiated.

Carotid arteries are in your neck and supply blood to

your brain. Medicines to help control diabetes and

high blood pressure are also needed to prevent heart

disease.

Breast cancer is one of the most common cancers

after having Hodgkin lymphoma. If your chest or

armpit (axillary) area was radiated, mammography

should start 8 to 10 years after treatment or when

you turn 40, whichever comes first. If you are already

40 or older, keep getting mammography tests. MRI

of your breasts is also needed if your chest was

radiated.

Screening for lung cancer is recommended. Low-

dose CT of your chest can detect lung cancer early. It

is recommended if you 1) received radiation therapy

to your chest, 2) had chemotherapy with alkylating

agents (eg, bendamustine), or 3) have smoked at

least a pack of cigarettes a day for 30 or more years.

Also get screened for colon cancer. To detect colon

cancer early, get a colonoscopy every 10 years if you

are 50 years old or older. Start at age 40 if you are

very likely to get colon cancer.

5

Treatment guide: Nodular lymphocyte-

predominant Hodgkin lymphoma

Follow-up care