After five years, what is the NCCN recommended surveillance schedule for Hodgkin lymphoma (Hodgkin disease)?

Updated: Sep 12, 2018
  • Author: Bradley W Lash, MD; Chief Editor: Emmanuel C Besa, MD  more...
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Answer

After 5 years, the NCCN recommends the following surveillance schedule [4] :

  • Annual history and physical examination
  • Annual blood pressure
  • Aggressive management of cardiovascular risk factors
  • Pneumococcal, meningococcal, and Haemophilus influenzae revaccination after 5–7 y, if the patient received splenic irradiation or splenectomy
  • Annual influenza vaccine
  • Consider stress test/echocardiogram at 10-y intervals after treatment completion
  • Consider carotid ultrasound at 10-y intervals if the patient underwent neck irradiation
  • Annual CBC, platelets, and chemistry profile
  • TSH at least annually if the patient underwent neck irradiation
  • Biannual lipid levels
  • Annual fasting glucose study
  • Low-dose chest CT scans may be considered in patients at increased risk for lung cancer
  • Female patients who have received chest irradiation should be screened annually with mammography, starting at age 40 years or 5-8 years following the radiation therapy; however, the American Cancer Society also recommends breast magnetic resonance imaging (MRI) for patients who received chest radiation therapy between the ages of 10 and 30 years [111]

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